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NPI Code Detail

MEDICARE: LUZ NAYIBE MARIN

MEDICARE:   LUZ NAYIBE MARIN
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 TechnicianFL

General Provider Information

NPI Number : 1447128517
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUZ NAYIBE MARIN
Provider Business Mailing Address
First Line : 481 BOHANNON BLVD
Second Line :
City : ORLANDO
State : FL
Zip : 32824-5902
Country : US
Telephone Number : 551-235-3414
Fax Number :
Provider Business Practice Location Address
First Line : 4700 MILLENIA BLVD STE 500
Second Line :
City : ORLANDO
State : FL
Zip : 32839-6019
Country : US
Telephone Number : 407-374-9448
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2025
Last Update Date : 10/30/2025

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Directions to “ LUZ NAYIBE MARIN ” Practice Location

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