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NPI Code Detail

MEDICARE: IRMA GABRIELA DONA

MEDICARE:   IRMA GABRIELA DONA
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 : 1417682881
Entity Type Code : Individual
Provider Name (Legal Business Name) : IRMA GABRIELA DONA
Provider Business Mailing Address
First Line : 4300 SHERIDAN ST APT 308
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-3530
Country : US
Telephone Number : 305-877-0165
Fax Number :
Provider Business Practice Location Address
First Line : 4300 SHERIDAN ST APT 308
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-3530
Country : US
Telephone Number : 305-877-0165
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2022
Last Update Date : 07/20/2022

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Directions to “ IRMA GABRIELA DONA ” Practice Location

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