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NPI Code Detail

MEDICARE: DANIEL EMILIO PICHARDO

MEDICARE: DANIEL EMILIO PICHARDO
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
1101Y00000XCounselorMH20581FL
2101Y00000XCounselorIMH19315FL
3101YM0800XMental Health CounselorMH20581FL

General Provider Information

NPI Number : 1174156616
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL EMILIO PICHARDO
Provider Business Mailing Address
First Line : 110 S WOODLAND ST
Second Line :
City : WINTER GARDEN
State : FL
Zip : 34787-3546
Country : US
Telephone Number : 407-435-7448
Fax Number : 407-905-8998
Provider Business Practice Location Address
First Line : 19108 E COLONIAL DR
Second Line :
City : ORLANDO
State : FL
Zip : 32820-3701
Country : US
Telephone Number : 407-905-8827
Fax Number : 407-905-8998
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2020
Last Update Date : 07/16/2024

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Directions to “ DANIEL EMILIO PICHARDO ” Practice Location

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