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NPI Code Detail

MEDICARE: DANIEL GREICO

MEDICARE:   DANIEL  GREICO
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
1224Z00000XOccupational Therapy AssistantOTA11647FL

General Provider Information

NPI Number : 1447727219
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL GREICO
Provider Business Mailing Address
First Line : 6529 WINDING GREENS DR
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32244-8117
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7723 JASPER AVE
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32211-7719
Country : US
Telephone Number : 878-778-7887
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/30/2018
Last Update Date : 10/30/2018

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Directions to “ DANIEL GREICO ” Practice Location

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