MEDICARE: JOMAIRY PAULINO

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	101YM0800X	Mental Health Counselor	MH25137	FL

General Provider Information

NPI Number	:	1013627884
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOMAIRY PAULINO

Provider Business Mailing Address
First Line	:	501 BRIGHTON CT
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34758-4121
Country	:	US
Telephone Number	:	689-237-5066
Fax Number	:

Provider Business Practice Location Address
First Line	:	2910 MAGUIRE RD STE 2002
Second Line	:
City	:	OCOEE
State	:	FL
Zip	:	34761-4742
Country	:	US
Telephone Number	:	239-690-6906
Fax Number	:

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

Provider Enumeration Date	:	12/01/2022
Last Update Date	:	02/19/2025

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Directions to “ JOMAIRY PAULINO ” Practice Location

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