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NPI Code Detail

MEDICARE: YERENIS ZUNILDA MURILLO OTR/L

MEDICARE:   YERENIS ZUNILDA MURILLO  OTR/L
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
1225X00000XOccupational TherapistOT17607FL

General Provider Information

NPI Number : 1912480104
Entity Type Code : Individual
Provider Name (Legal Business Name) : YERENIS ZUNILDA MURILLO OTR/L
Provider Business Mailing Address
First Line : 3901 UNIVERSITY BLVD S
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-4312
Country : US
Telephone Number : 904-345-7336
Fax Number :
Provider Business Practice Location Address
First Line : 1034 DUNN AVE
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32218-4830
Country : US
Telephone Number : 904-757-1782
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2018
Last Update Date : 09/13/2018

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Directions to “ YERENIS ZUNILDA MURILLO OTR/L” Practice Location

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