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NPI Code Detail

MEDICARE: MEYLING M LORENZO

MEDICARE:   MEYLING M LORENZO
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 TechnicianFL
2104100000XSocial WorkerCBHCMS0102821FL

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 : 1093364184
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEYLING M LORENZO
Provider Business Mailing Address
First Line : 3259 NW 99TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33147-1934
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3259 NW 99TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33147-1934
Country : US
Telephone Number : 786-406-0973
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2019
Last Update Date : 11/14/2025

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Directions to “ MEYLING M LORENZO ” Practice Location

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