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NPI Code Detail

MEDICARE: AMARILY FRAGA PEREZ

MEDICARE: AMARILY FRAGA PEREZ
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
1225700000XMassage TherapistMA95922FL
2106S00000XBehavior TechnicianRBT24324167FL

General Provider Information

NPI Number : 1962164178
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMARILY FRAGA PEREZ
Provider Business Mailing Address
First Line : 2305 CARROLL GROVE DR
Second Line :
City : TAMPA
State : FL
Zip : 33612-6522
Country : US
Telephone Number : 813-506-1701
Fax Number :
Provider Business Practice Location Address
First Line : 5051 MEMORIAL HWY UNIT B
Second Line :
City : TAMPA
State : FL
Zip : 33634-7355
Country : US
Telephone Number : 813-290-0779
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2021
Last Update Date : 03/09/2026

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Directions to “ AMARILY FRAGA PEREZ ” Practice Location

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