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NPI Code Detail

MEDICARE: KIRA ALMODOVAR

MEDICARE:   KIRA  ALMODOVAR
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 Analyst1-23-68620FL

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 : 1568120392
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIRA ALMODOVAR
Provider Business Mailing Address
First Line : 32 E MILLER ST
Second Line :
City : WINTER GARDEN
State : FL
Zip : 34787-3570
Country : US
Telephone Number : 407-683-1072
Fax Number : 207-269-5888
Provider Business Practice Location Address
First Line : 32 E MILLER ST
Second Line :
City : WINTER GARDEN
State : FL
Zip : 34787-3570
Country : US
Telephone Number : 407-683-1072
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2021
Last Update Date : 10/02/2024

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Directions to “ KIRA ALMODOVAR ” Practice Location

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