MEDICARE: AURA'S THERAPY CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	225X00000X	Occupational Therapist
2	235Z00000X	Speech-Language Pathologist
3	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1225673049
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AURA'S THERAPY CENTER

Provider Business Mailing Address
First Line	:	278 SPARROW HAWK DR
Second Line	:
City	:	GROVELAND
State	:	FL
Zip	:	34736-8058
Country	:	US
Telephone Number	:	407-340-5047
Fax Number	:

Provider Business Practice Location Address
First Line	:	3115 CITRUS TOWER BLVD STE D
Second Line	:
City	:	CLERMONT
State	:	FL
Zip	:	34711-6880
Country	:	US
Telephone Number	:	407-374-8010
Fax Number	:	407-536-5801

Authorized Official
Title or Position	:	OWNER
Name	:	MR. RAUL BRAVO
Credential	:
Telephone Number	:	407-340-6891

Provider Enumeration Date	:	11/15/2019
Last Update Date	:	08/20/2024

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Directions to “AURA'S THERAPY CENTER ” Practice Location

Language	Start Address	Practice Location

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