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NPI Code Detail

MEDICARE: ISHMEL CERISIER

MEDICARE: ISHMEL CERISIER
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
1101YM0800XMental Health Counselor
2101YM0800XMental Health CounselorIMH13188FL

General Provider Information

NPI Number : 1295146157
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISHMEL CERISIER
Provider Business Mailing Address
First Line : 3544 EDGEWATER DR
Second Line :
City : ORLANDO
State : FL
Zip : 32804-2922
Country : US
Telephone Number : 407-291-8009
Fax Number : 140-777-0550
Provider Business Practice Location Address
First Line : 3544 EDGEWATER DR
Second Line :
City : ORLANDO
State : FL
Zip : 32804-2922
Country : US
Telephone Number : 407-291-8009
Fax Number : 140-777-0550
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2014
Last Update Date : 02/03/2015

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Directions to “ ISHMEL CERISIER ” Practice Location

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