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NPI Code Detail

MEDICARE: MARIA JOSE MORALES VACA

MEDICARE:   MARIA JOSE MORALES VACA
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 TechnicianFL

General Provider Information

NPI Number : 1245168004
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA JOSE MORALES VACA
Provider Business Mailing Address
First Line : 3409 NARROWS DR
Second Line :
City : LAKELAND
State : FL
Zip : 33810-1610
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3409 NARROWS DR
Second Line :
City : LAKELAND
State : FL
Zip : 33810-1610
Country : US
Telephone Number : 321-961-6938
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2026
Last Update Date : 05/12/2026

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Directions to “ MARIA JOSE MORALES VACA ” Practice Location

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