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NPI Code Detail

MEDICARE: ROYMARA CEDENO

MEDICARE:   ROYMARA  CEDENO
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 : 1295428407
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROYMARA CEDENO
Provider Business Mailing Address
First Line : 7861 JUBILEE PARK BLVD APT 2422
Second Line :
City : ORLANDO
State : FL
Zip : 32822-5259
Country : US
Telephone Number : 305-783-7450
Fax Number : 407-750-5201
Provider Business Practice Location Address
First Line : 1416 SIMPSON RD
Second Line :
City : KISSIMMEE
State : FL
Zip : 34744-4600
Country : US
Telephone Number : 321-947-8923
Fax Number : 407-750-5201
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2023
Last Update Date : 06/01/2023

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Directions to “ ROYMARA CEDENO ” Practice Location

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