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NPI Code Detail

MEDICARE: BRIDGET YASMIN BARAHONA

MEDICARE: BRIDGET YASMIN BARAHONA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QD1600XDevelopmental Disabilities Clinic/Center

General Provider Information

NPI Number : 1831890078
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIDGET YASMIN BARAHONA
Provider Business Mailing Address
First Line : 506 SW 47TH TER
Second Line :
City : CAPE CORAL
State : FL
Zip : 33914-6506
Country : US
Telephone Number : 239-851-8608
Fax Number :
Provider Business Practice Location Address
First Line : 506 SW 47TH TER
Second Line :
City : CAPE CORAL
State : FL
Zip : 33914-6506
Country : US
Telephone Number : 239-851-8608
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2023
Last Update Date : 05/26/2026

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Directions to “ BRIDGET YASMIN BARAHONA ” Practice Location

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