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NPI Code Detail

MEDICARE: DENISE CARLASCIO

MEDICARE: DENISE CARLASCIO
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
1222Q00000XDevelopmental Therapist

General Provider Information

NPI Number : 1417104449
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENISE CARLASCIO
Provider Business Mailing Address
First Line : 12615 ADVENTURE DR
Second Line :
City : RIVERVIEW
State : FL
Zip : 33579-7791
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2708 NE 14TH ST APT 5
Second Line :
City : POMPANO BEACH
State : FL
Zip : 33062-3564
Country : US
Telephone Number : 954-603-7885
Fax Number : 954-342-0273
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2008
Last Update Date : 08/21/2008

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Directions to “ DENISE CARLASCIO ” Practice Location

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