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NPI Code Detail

MEDICARE: DANIELLE GLEFKE MT-BC

MEDICARE:   DANIELLE  GLEFKE  MT-BC
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
1225A00000XMusic Therapist

General Provider Information

NPI Number : 1528487188
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE GLEFKE MT-BC
Provider Business Mailing Address
First Line : 2261 CHARLOTTE DR
Second Line :
City : LONGWOOD
State : FL
Zip : 32779-4840
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2261 CHARLOTTE DR
Second Line :
City : LONGWOOD
State : FL
Zip : 32779-4840
Country : US
Telephone Number : 407-756-9813
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2014
Last Update Date : 04/10/2014

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Directions to “ DANIELLE GLEFKE MT-BC” Practice Location

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