MEDICARE: VIOLETA ISMAIL

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
1	222Q00000X	Developmental Therapist	OTA18780	FL
2	224Z00000X	Occupational Therapy Assistant

General Provider Information

NPI Number	:	1982344347
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIOLETA ISMAIL

Provider Business Mailing Address
First Line	:	2212 WASHINGTON ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-5963
Country	:	US
Telephone Number	:	954-446-4663
Fax Number	:

Provider Business Practice Location Address
First Line	:	2212 WASHINGTON ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-5963
Country	:	US
Telephone Number	:	954-446-4663
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2022
Last Update Date	:	11/16/2025

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Directions to “ VIOLETA ISMAIL ” Practice Location

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