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NPI Code Detail

MEDICARE: DARIAN FUNDORA LLERENA

MEDICARE: DARIAN FUNDORA LLERENA
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-23-315584FL

General Provider Information

NPI Number : 1235900697
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARIAN FUNDORA LLERENA
Provider Business Mailing Address
First Line : 6051 10TH AVE N APT 135
Second Line :
City : GREENACRES
State : FL
Zip : 33463-1627
Country : US
Telephone Number : 561-889-0353
Fax Number :
Provider Business Practice Location Address
First Line : 2151 45TH ST STE 202
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33407-2009
Country : US
Telephone Number : 561-889-0353
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2024
Last Update Date : 03/26/2026

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Directions to “ DARIAN FUNDORA LLERENA ” Practice Location

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