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NPI Code Detail

MEDICARE: MRS. CAMELE ANTONETTE MCDONALD MORANZ

MEDICARE: MRS. CAMELE ANTONETTE MCDONALD MORANZ
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
1106S00000XBehavior TechnicianRBT-22-218871FL

General Provider Information

NPI Number : 1598405425
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CAMELE ANTONETTE MCDONALD MORANZ
Provider Business Mailing Address
First Line : 7075 N HIGHWAY 1
Second Line :
City : COCOA
State : FL
Zip : 32927-5216
Country : US
Telephone Number : 321-888-3020
Fax Number : 661-263-4584
Provider Business Practice Location Address
First Line : 1737 N CLYDE MORRIS BLVD
Second Line :
City : DAYTONA BEACH
State : FL
Zip : 32117-5533
Country : US
Telephone Number : 321-888-3020
Fax Number : 661-263-4584
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2022
Last Update Date : 09/26/2025

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