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NPI Code Detail

MEDICARE: ALIH JEY PARRA

MEDICARE:   ALIH JEY  PARRA
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

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245942085
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALIH JEY PARRA
Provider Business Mailing Address
First Line : 2520 SHELBY PKWY
Second Line :
City : CAPE CORAL
State : FL
Zip : 33904-5701
Country : US
Telephone Number : 561-543-8254
Fax Number : --
Provider Business Practice Location Address
First Line : 2520 SHELBY PKWY
Second Line :
City : CAPE CORAL
State : FL
Zip : 33904-5701
Country : US
Telephone Number : 561-543-8254
Fax Number : --
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2022
Last Update Date : 10/09/2023

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Directions to “ ALIH JEY PARRA ” Practice Location

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