MEDICARE: AUREA EXPOSITO MARRERO

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
1	225700000X	Massage Therapist	MA97613	FL

General Provider Information

NPI Number	:	1215716980
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUREA EXPOSITO MARRERO

Provider Business Mailing Address
First Line	:	11485 SAGE CANYON DR
Second Line	:
City	:	RIVERVIEW
State	:	FL
Zip	:	33578-9321
Country	:	US
Telephone Number	:	813-389-6007
Fax Number	:

Provider Business Practice Location Address
First Line	:	11485 SAGE CANYON DR
Second Line	:
City	:	RIVERVIEW
State	:	FL
Zip	:	33578-9321
Country	:	US
Telephone Number	:	813-389-6007
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/22/2023
Last Update Date	:	09/22/2023

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Directions to “ AUREA EXPOSITO MARRERO ” Practice Location

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