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NPI Code Detail

MEDICARE: DENISE L MYERS

MEDICARE:   DENISE L MYERS
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
1106S00000XBehavior TechnicianFL

General Provider Information

NPI Number : 1972442721
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENISE L MYERS
Provider Business Mailing Address
First Line : 6874 W POLARIS CT
Second Line :
City : HOMOSASSA SPRINGS
State : FL
Zip : 34446-6420
Country : US
Telephone Number : 215-221-2556
Fax Number :
Provider Business Practice Location Address
First Line : 6874 W POLARIS CT
Second Line :
City : HOMOSASSA SPRINGS
State : FL
Zip : 34446-6420
Country : US
Telephone Number : 215-221-2556
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2026
Last Update Date : 03/26/2026

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Directions to “ DENISE L MYERS ” Practice Location

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