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NPI Code Detail

MEDICARE: GRETEL GARCIA MORA COTA/L

MEDICARE:   GRETEL  GARCIA MORA  COTA/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
1224Z00000XOccupational Therapy AssistantOTA20085FL

General Provider Information

NPI Number : 1942159173
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRETEL GARCIA MORA COTA/L
Provider Business Mailing Address
First Line : 5206 S 80TH ST
Second Line :
City : TAMPA
State : FL
Zip : 33619-7018
Country : US
Telephone Number : 813-506-2721
Fax Number : 813-506-2721
Provider Business Practice Location Address
First Line : 5206 S 80TH ST
Second Line :
City : TAMPA
State : FL
Zip : 33619-7018
Country : US
Telephone Number : 813-506-2721
Fax Number : 813-506-2721
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2026
Last Update Date : 01/22/2026

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Directions to “ GRETEL GARCIA MORA COTA/L” Practice Location

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