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NPI Code Detail

MEDICARE: MRS. JUDITH MILAGROS GARCIA MALAVE

MEDICARE: MRS. JUDITH MILAGROS GARCIA MALAVE
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-25-497272FL

General Provider Information

NPI Number : 1477418978
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JUDITH MILAGROS GARCIA MALAVE
Provider Business Mailing Address
First Line : 4727 W IRLO BRONSON MEMORIAL HWY
Second Line :
City : KISSIMMEE
State : FL
Zip : 34746-5326
Country : US
Telephone Number : 321-972-4039
Fax Number :
Provider Business Practice Location Address
First Line : 4727 W IRLO BRONSON MEMORIAL HWY
Second Line :
City : KISSIMMEE
State : FL
Zip : 34746-5326
Country : US
Telephone Number : 321-972-4039
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2025
Last Update Date : 12/17/2025

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Directions to “ MRS. JUDITH MILAGROS GARCIA MALAVE ” Practice Location

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