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NPI Code Detail

MEDICARE: DINA DAMARIS ROSARIO

MEDICARE: DINA DAMARIS ROSARIO
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 TechnicianRBT-25-503959FL

General Provider Information

NPI Number : 1205785243
Entity Type Code : Individual
Provider Name (Legal Business Name) : DINA DAMARIS ROSARIO
Provider Business Mailing Address
First Line : 1814 NW 6TH AVE
Second Line :
City : CAPE CORAL
State : FL
Zip : 33993-5142
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3351 MARINATOWN LN STE 200
Second Line :
City : NORTH FORT MYERS
State : FL
Zip : 33903-7000
Country : US
Telephone Number : 239-257-1088
Fax Number : 877-307-2352
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2026
Last Update Date : 01/23/2026

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Directions to “ DINA DAMARIS ROSARIO ” Practice Location

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