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NPI Code Detail

MEDICARE: MICHELLE LOYDY MERANDIEU COTA

MEDICARE: MICHELLE LOYDY MERANDIEU COTA
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
1224Z00000XOccupational Therapy Assistant16417FL

General Provider Information

NPI Number : 1114420684
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE LOYDY MERANDIEU COTA
Provider Business Mailing Address
First Line : 1900 N LAUDERDALE AVE APT 117
Second Line :
City : NORTH LAUDERDALE
State : FL
Zip : 33068-4755
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1821 SE 4TH AVE
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33316-2807
Country : US
Telephone Number : 954-763-5444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2018
Last Update Date : 03/12/2018

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Directions to “ MICHELLE LOYDY MERANDIEU COTA” Practice Location

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