MEDICARE: ROSANA VALESKA ARAUJO

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	103TR0400X	Rehabilitation Psychologist	A622-738-88-873-0	FL

General Provider Information

NPI Number	:	1336978758
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSANA VALESKA ARAUJO

Provider Business Mailing Address
First Line	:	4431 SOLAMAR AVE APT 106
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34746-6810
Country	:	US
Telephone Number	:	774-329-3537
Fax Number	:

Provider Business Practice Location Address
First Line	:	4431 SOLAMAR AVE APT 106
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34746-6810
Country	:	US
Telephone Number	:	774-329-3537
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2024
Last Update Date	:	08/01/2024

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Directions to “ ROSANA VALESKA ARAUJO ” Practice Location

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