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NPI Code Detail

MEDICARE: AGRAFENA DE LA CRUZ SANTIAGO

MEDICARE: AGRAFENA DE LA CRUZ SANTIAGO
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 TechnicianRBT-26-507387FL

General Provider Information

NPI Number : 1427990589
Entity Type Code : Individual
Provider Name (Legal Business Name) : AGRAFENA DE LA CRUZ SANTIAGO
Provider Business Mailing Address
First Line : 9985 WINNINGTON ST
Second Line :
City : ORLANDO
State : FL
Zip : 32832-6235
Country : US
Telephone Number : 386-344-9452
Fax Number :
Provider Business Practice Location Address
First Line : 1909 HILLBROOKE TRL STE 3
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32311-7902
Country : US
Telephone Number : 386-344-9452
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2026
Last Update Date : 04/08/2026

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Directions to “ AGRAFENA DE LA CRUZ SANTIAGO ” Practice Location

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