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NPI Code Detail

MEDICARE: PRISCILLA PAJARES M.A.

MEDICARE:   PRISCILLA  PAJARES  M.A.
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
1235Z00000XSpeech-Language Pathologist16822FL

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 : 1144765033
Entity Type Code : Individual
Provider Name (Legal Business Name) : PRISCILLA PAJARES M.A.
Provider Business Mailing Address
First Line : 6900 S ORANGE BLOSSOM TRL
Second Line : SUITE 102
City : ORLANDO
State : FL
Zip : 32809-5745
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6900 S ORANGE BLOSSOM TRL
Second Line : SUITE 102
City : ORLANDO
State : FL
Zip : 32809-5745
Country : US
Telephone Number : 321-445-1287
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2016
Last Update Date : 08/09/2023

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Directions to “ PRISCILLA PAJARES M.A.” Practice Location

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