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NPI Code Detail

MEDICARE: SUSANA J ALMARZA SOSA BA

MEDICARE:   SUSANA J ALMARZA SOSA  BA
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
1252Y00000XEarly Intervention Provider AgencyFL

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 : 1598237976
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSANA J ALMARZA SOSA BA
Provider Business Mailing Address
First Line : 1504 PLANTATION GROVE CT APT 1120
Second Line :
City : PLANT CITY
State : FL
Zip : 33566-1592
Country : US
Telephone Number : 813-359-7061
Fax Number :
Provider Business Practice Location Address
First Line : 1504 PLANTATION GROVE CT APT 1120
Second Line :
City : PLANT CITY
State : FL
Zip : 33566-1592
Country : US
Telephone Number : 813-359-7061
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2018
Last Update Date : 02/07/2019

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Directions to “ SUSANA J ALMARZA SOSA BA” Practice Location

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