MEDICARE: THE MAGIC HANDS ART LLC

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	261QR0400X	Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1023953460
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE MAGIC HANDS ART LLC

Provider Business Mailing Address
First Line	:	374 PRESERVE POINTE BLVD
Second Line	:
City	:	DAVENPORT
State	:	FL
Zip	:	33837-9341
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	374 PRESERVE POINTE BLVD
Second Line	:
City	:	DAVENPORT
State	:	FL
Zip	:	33837-9341
Country	:	US
Telephone Number	:	305-619-8032
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	IDALIA PALMERO
Credential	:
Telephone Number	:	305-619-8032

Provider Enumeration Date	:	04/22/2026
Last Update Date	:	04/22/2026

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Directions to “THE MAGIC HANDS ART LLC ” Practice Location

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