MEDICARE: CLAUDIA CIFUENTES

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
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1578019881
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDIA CIFUENTES

Provider Business Mailing Address
First Line	:	1220 S DALE MABRY HWY
Second Line	:	STE. 201
City	:	TAMPA
State	:	FL
Zip	:	33629-5019
Country	:	US
Telephone Number	:	813-258-8887
Fax Number	:	813-925-4351

Provider Business Practice Location Address
First Line	:	1220 S DALE MABRY HWY
Second Line	:	STE. 201
City	:	TAMPA
State	:	FL
Zip	:	33629-5019
Country	:	US
Telephone Number	:	813-258-8887
Fax Number	:	813-925-4351

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/27/2016
Last Update Date	:	08/27/2016

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Directions to “ CLAUDIA CIFUENTES ” Practice Location

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