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NPI Code Detail

MEDICARE: GIOVANNA CENTENO

MEDICARE:   GIOVANNA  CENTENO
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
1235Z00000XSpeech-Language PathologistSZ12476FL
22355S0801XSpeech-Language Assistant6083FL

General Provider Information

NPI Number : 1265258917
Entity Type Code : Individual
Provider Name (Legal Business Name) : GIOVANNA CENTENO
Provider Business Mailing Address
First Line : 1400 MORGAN STANLEY AVE UNIT 328
Second Line :
City : WINTER PARK
State : FL
Zip : 32789-1987
Country : US
Telephone Number : 407-687-6372
Fax Number :
Provider Business Practice Location Address
First Line : 1061 S SUN DR STE 1089
Second Line :
City : LAKE MARY
State : FL
Zip : 32746-6169
Country : US
Telephone Number : 407-323-6955
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/26/2024
Last Update Date : 02/04/2025

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Directions to “ GIOVANNA CENTENO ” Practice Location

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