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NPI Code Detail

MEDICARE: MELANY BENITEZ PALOMINO

MEDICARE:   MELANY  BENITEZ PALOMINO
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 Technician

General Provider Information

NPI Number : 1356108914
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELANY BENITEZ PALOMINO
Provider Business Mailing Address
First Line : 406 NE 13TH PL
Second Line :
City : CAPE CORAL
State : FL
Zip : 33909-2146
Country : US
Telephone Number : 239-355-9736
Fax Number :
Provider Business Practice Location Address
First Line : 406 NE 13TH PL
Second Line :
City : CAPE CORAL
State : FL
Zip : 33909-2146
Country : US
Telephone Number : 239-355-9736
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/29/2024
Last Update Date : 02/29/2024

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Directions to “ MELANY BENITEZ PALOMINO ” Practice Location

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