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NPI Code Detail

MEDICARE: OLEIDYS SUAREZ

MEDICARE:   OLEIDYS  SUAREZ
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
1106S00000XBehavior Technician1854875FL

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 : 1093363400
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLEIDYS SUAREZ
Provider Business Mailing Address
First Line : 3706 GARDEN BLVD
Second Line :
City : CAPE CORAL
State : FL
Zip : 33909-3260
Country : US
Telephone Number : 786-470-0968
Fax Number :
Provider Business Practice Location Address
First Line : 3706 GARDEN BLVD
Second Line :
City : CAPE CORAL
State : FL
Zip : 33909-3260
Country : US
Telephone Number : 786-470-0968
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2019
Last Update Date : 04/14/2026

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Directions to “ OLEIDYS SUAREZ ” Practice Location

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