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NPI Code Detail

MEDICARE: LITTLE DRAGONFLY THERAPY LLC

MEDICARE: LITTLE DRAGONFLY THERAPY LLC
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
1251E00000XHome Health Agency

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 : 1568072684
Entity Type Code : Organization
Provider Name (Legal Business Name) : LITTLE DRAGONFLY THERAPY LLC
Provider Business Mailing Address
First Line : 13857 OAK FOREST BLVD N
Second Line :
City : SEMINOLE
State : FL
Zip : 33776-3416
Country : US
Telephone Number : 727-249-9105
Fax Number :
Provider Business Practice Location Address
First Line : 13857 OAK FOREST BLVD N
Second Line :
City : SEMINOLE
State : FL
Zip : 33776-3416
Country : US
Telephone Number : 727-249-9105
Fax Number :
Authorized Official
Title or Position : MSPT
Name : GINA ARLINGTON
Credential :
Telephone Number : 727-249-9105
Provider Enumeration Date : 08/04/2020
Last Update Date : 08/04/2020

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675 SEMINOLE AVE NE STE 307
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Directions to “LITTLE DRAGONFLY THERAPY LLC ” Practice Location

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