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NPI Code Detail

MEDICARE: LUZ Y ECHEVERRI M.A

MEDICARE:   LUZ Y ECHEVERRI  M.A
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
1172M00000XMechanotherapistM.A 20706FL

General Provider Information

NPI Number : 1619116480
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUZ Y ECHEVERRI M.A
Provider Business Mailing Address
First Line : 7489 ESTAGE COACHTRAIL
Second Line :
City : FLORAL CITY
State : FL
Zip : 34436
Country : US
Telephone Number : 352-419-4700
Fax Number : 352-419-4700
Provider Business Practice Location Address
First Line : 7489 E STAGE COACH TRL
Second Line : 7489 E STAGE COACH TRAIL
City : FLORAL CITY
State : FL
Zip : 34436-3608
Country : US
Telephone Number : 352-419-4700
Fax Number : 353-419-4700
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2009
Last Update Date : 02/18/2009

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Directions to “ LUZ Y ECHEVERRI M.A” Practice Location

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