MEDICARE: ANGELICA MACHADO FLORES

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	106S00000X	Behavior Technician	23-302646	FL

General Provider Information

NPI Number	:	1063280444
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELICA MACHADO FLORES

Provider Business Mailing Address
First Line	:	18914 NW 56TH CT
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33055-2319
Country	:	US
Telephone Number	:	786-744-0451
Fax Number	:

Provider Business Practice Location Address
First Line	:	18914 NW 56TH CT
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33055-2319
Country	:	US
Telephone Number	:	786-744-0451
Fax Number	:

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

Provider Enumeration Date	:	12/15/2023
Last Update Date	:	12/15/2023

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Directions to “ ANGELICA MACHADO FLORES ” Practice Location

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