MEDICARE: BRENDA PAREJAS CMF

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	224900000X	Mastectomy Fitter	C52003	FL

General Provider Information

NPI Number	:	1457612681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRENDA PAREJAS CMF

Provider Business Mailing Address
First Line	:	3526 DOVETAIL LN N
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33812-4123
Country	:	US
Telephone Number	:	863-686-6809
Fax Number	:	863-868-6809

Provider Business Practice Location Address
First Line	:	3526 DOVETAIL LN N
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33812-4123
Country	:	US
Telephone Number	:	863-686-6809
Fax Number	:	863-868-6809

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

Provider Enumeration Date	:	06/05/2012
Last Update Date	:	05/04/2026

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Directions to “ BRENDA PAREJAS CMF” Practice Location

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