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NPI Code Detail

MEDICARE: SURAY LIMA TEJERA

MEDICARE: SURAY LIMA TEJERA
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
1103K00000XBehavior Analyst1-18-32735FL

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 : 1023484599
Entity Type Code : Individual
Provider Name (Legal Business Name) : SURAY LIMA TEJERA
Provider Business Mailing Address
First Line : 16508 ASHWOOD DR
Second Line :
City : TAMPA
State : FL
Zip : 33624-1153
Country : US
Telephone Number : 813-418-9038
Fax Number : 772-675-9100
Provider Business Practice Location Address
First Line : 6702 N GUNLOCK AVE
Second Line :
City : TAMPA
State : FL
Zip : 33614-4508
Country : US
Telephone Number : 813-418-9038
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2015
Last Update Date : 03/05/2025

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Directions to “ SURAY LIMA TEJERA ” Practice Location

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