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NPI Code Detail

MEDICARE: MELISSA PEREZ CRUZ

MEDICARE: MELISSA PEREZ CRUZ
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-23-298912FL

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 : 1306625934
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA PEREZ CRUZ
Provider Business Mailing Address
First Line : 300 LAKE MILLS RD
Second Line :
City : CHULUOTA
State : FL
Zip : 32766-9641
Country : US
Telephone Number : 321-863-2121
Fax Number :
Provider Business Practice Location Address
First Line : 6900 S ORANGE BLOSSOM TRL STE 400
Second Line :
City : ORLANDO
State : FL
Zip : 32809-5734
Country : US
Telephone Number : 407-602-7442
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2023
Last Update Date : 01/08/2026

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Directions to “ MELISSA PEREZ CRUZ ” Practice Location

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