MEDICARE: MRS. CECILIA O JELINEK OTR/L

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	225X00000X	Occupational Therapist	OT 9913	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386958288
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CECILIA O JELINEK OTR/L

Provider Business Mailing Address
First Line	:	12060 SW 129TH CT
Second Line	:	STE 107
City	:	MIAMI
State	:	FL
Zip	:	33186-4582
Country	:	US
Telephone Number	:	305-378-5247
Fax Number	:	305-378-6760

Provider Business Practice Location Address
First Line	:	12060 SW 129TH CT
Second Line	:	STE 107
City	:	MIAMI
State	:	FL
Zip	:	33186-4582
Country	:	US
Telephone Number	:	305-378-5247
Fax Number	:	305-378-6760

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

Provider Enumeration Date	:	08/03/2010
Last Update Date	:	02/28/2019

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