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NPI Code Detail

MEDICARE: LIDAIMIS NARANJO GARCIA

MEDICARE:   LIDAIMIS  NARANJO GARCIA
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 Technician24-351842FL

General Provider Information

NPI Number : 1518702042
Entity Type Code : Individual
Provider Name (Legal Business Name) : LIDAIMIS NARANJO GARCIA
Provider Business Mailing Address
First Line : 6964 W 17TH CT
Second Line :
City : HIALEAH
State : FL
Zip : 33014-4417
Country : US
Telephone Number : 786-780-4135
Fax Number :
Provider Business Practice Location Address
First Line : 6964 W 17TH CT
Second Line :
City : HIALEAH
State : FL
Zip : 33014-4417
Country : US
Telephone Number : 786-780-4135
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2024
Last Update Date : 06/26/2024

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Directions to “ LIDAIMIS NARANJO GARCIA ” Practice Location

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