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NPI Code Detail

MEDICARE: CAROLINA P LEON-BOZO

MEDICARE: CAROLINA P LEON-BOZO
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 TechnicianRBT-24-327064FL

General Provider Information

NPI Number : 1295590966
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLINA P LEON-BOZO
Provider Business Mailing Address
First Line : 2218 VILLA VERANO WAY APT 104
Second Line :
City : KISSIMMEE
State : FL
Zip : 34744-6369
Country : US
Telephone Number : 689-271-4213
Fax Number :
Provider Business Practice Location Address
First Line : 801 BILL BECK BLVD
Second Line :
City : KISSIMMEE
State : FL
Zip : 34744-4434
Country : US
Telephone Number : 407-870-4099
Fax Number : 407-870-4975
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2024
Last Update Date : 01/04/2025

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Directions to “ CAROLINA P LEON-BOZO ” Practice Location

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