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NPI Code Detail

MEDICARE: ANTONIO ANGUIANO LCSW

MEDICARE:   ANTONIO  ANGUIANO  LCSW
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
11041C0700XClinical Social WorkerSW 4164FL

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 : 1154343275
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTONIO ANGUIANO LCSW
Provider Business Mailing Address
First Line : 1060 NE 89TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33138-3473
Country : US
Telephone Number : 786-512-3333
Fax Number :
Provider Business Practice Location Address
First Line : 2010 NW 7TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33125-3423
Country : US
Telephone Number : 786-512-3333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2006
Last Update Date : 08/28/2019

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Directions to “ ANTONIO ANGUIANO LCSW” Practice Location

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