MEDICARE: ICLEIA NYARI BATES COTA

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	224Z00000X	Occupational Therapy Assistant	OTA 12314	FL

General Provider Information

NPI Number	:	1427479286
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ICLEIA NYARI BATES COTA

Provider Business Mailing Address
First Line	:	10368 PANAMA ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33026-4529
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10368 PANAMA ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33026-4529
Country	:	US
Telephone Number	:	954-821-3547
Fax Number	:

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

Provider Enumeration Date	:	12/21/2013
Last Update Date	:	12/21/2013

Similar Medicare Providers

1417336728 — PALISADES MEDICAL CENTER
Practice Location Address:

10348 PANAMA ST
HOLLYWOOD, FL
33026-4529

Practice Phone: 954-673-0047
Practice Fax:

1548533557 — DR. BATUL T SUTERWALA M.D.
Practice Location Address:

6045 WHITSETT AVE APT 20
NORTH HOLLYWOOD, CA
91606-4529

Practice Phone: 630-639-9916
Practice Fax:

1124528476 — JULIA ANNE GALAUDET PSYD, LCSW
Practice Location Address:

8240 BEVERLY BLVD STE 8
WEST HOLLYWOOD, CA
90048-4529

Practice Phone: 310-927-6816
Practice Fax:

1932050564 — KLASS DENTAL P.A
Practice Location Address:

2665 N HIATUS RD
HOLLYWOOD, FL
33026-1372

Practice Phone: 754-228-0528
Practice Fax: 754-228-0556

1366925273 — DANIELLE KELLER LMHC
Practice Location Address:

3543 LINCOLN WAY
HOLLYWOOD, FL
33026-4858

Practice Phone: 954-618-8477
Practice Fax: 954-698-2021

1548042369 — TALK THERAPY SOLUTIONS
Practice Location Address:

3543 LINCOLN WAY
HOLLYWOOD, FL
33026-4858

Practice Phone: 954-618-8477
Practice Fax:

Directions to “ ICLEIA NYARI BATES COTA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.