MEDICARE: CODY FLIEHMAN

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	IMH22774	FL
2	101YM0800X	Mental Health Counselor	MH25163	FL

General Provider Information

NPI Number	:	1063139350
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CODY FLIEHMAN

Provider Business Mailing Address
First Line	:	8121 PORT SAID ST
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32817-1517
Country	:	US
Telephone Number	:	813-476-3607
Fax Number	:

Provider Business Practice Location Address
First Line	:	8121 PORT SAID ST
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32817-1517
Country	:	US
Telephone Number	:	813-476-3607
Fax Number	:

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

Provider Enumeration Date	:	10/26/2022
Last Update Date	:	01/07/2026

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Directions to “ CODY FLIEHMAN ” Practice Location

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