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NPI Code Detail

MEDICARE: MRS. MARGARET C DRAKE

MEDICARE: MRS. MARGARET C DRAKE
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
1103K00000XBehavior Analyst0-01-0214FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558794321
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARGARET C DRAKE
Provider Business Mailing Address
First Line : 9160 FORUM CORPORATE PKWY STE 350
Second Line :
City : FORT MYERS
State : FL
Zip : 33905-7808
Country : US
Telephone Number : 866-832-6727
Fax Number : 772-675-9100
Provider Business Practice Location Address
First Line : 9160 FORUM CORPORATE PKWY STE 350
Second Line :
City : FORT MYERS
State : FL
Zip : 33905-7808
Country : US
Telephone Number : 866-832-6727
Fax Number : 772-675-9100
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2013
Last Update Date : 08/18/2025

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