MEDICARE: MUSIC THERAPY IN ORLANDO, INC.

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
1	225A00000X	Music Therapist

General Provider Information

NPI Number	:	1295938488
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MUSIC THERAPY IN ORLANDO, INC.

Provider Business Mailing Address
First Line	:	729 MAYFAIR CIR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32803-6628
Country	:	US
Telephone Number	:	321-558-5423
Fax Number	:

Provider Business Practice Location Address
First Line	:	729 MAYFAIR CIR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32803-6628
Country	:	US
Telephone Number	:	321-558-5423
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MICHELLE ERFURT
Credential	:	MT-BC
Telephone Number	:	321-558-5423

Provider Enumeration Date	:	06/06/2007
Last Update Date	:	08/22/2020

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