MEDICARE: MONICA SARDUY MOLA

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	RBT-26-515132	FL
2	222Q00000X	Developmental Therapist		FL

General Provider Information

NPI Number	:	1083441083
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONICA SARDUY MOLA

Provider Business Mailing Address
First Line	:	17824 MORNINGHIGH DR
Second Line	:
City	:	LUTZ
State	:	FL
Zip	:	33549-5537
Country	:	US
Telephone Number	:	813-817-1402
Fax Number	:

Provider Business Practice Location Address
First Line	:	17824 MORNINGHIGH DR
Second Line	:
City	:	LUTZ
State	:	FL
Zip	:	33549-5537
Country	:	US
Telephone Number	:	813-817-1402
Fax Number	:

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

Provider Enumeration Date	:	09/16/2024
Last Update Date	:	03/03/2026

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Directions to “ MONICA SARDUY MOLA ” Practice Location

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