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NPI Code Detail

MEDICARE: MICHELE FIORENZA

MEDICARE: MICHELE FIORENZA
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 TechnicianRBT-22-243368FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013627231
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELE FIORENZA
Provider Business Mailing Address
First Line : 532 SW WHITMORE DR
Second Line :
City : PORT SAINT LUCIE
State : FL
Zip : 34984-3570
Country : US
Telephone Number : 561-414-8395
Fax Number :
Provider Business Practice Location Address
First Line : 906 SEMINOLE DR
Second Line :
City : FORT PIERCE
State : FL
Zip : 34982-7648
Country : US
Telephone Number : 772-475-5313
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2022
Last Update Date : 11/29/2022

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Directions to “ MICHELE FIORENZA ” Practice Location

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