MEDICARE: VERNICE SALVERON OT/R

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	225XP0019X	Physical Rehabilitation Occupational Therapist	OT25853	FL
2	225XP0200X	Pediatric Occupational Therapist	OT25853	FL

General Provider Information

NPI Number	:	1619823119
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VERNICE SALVERON OT/R

Provider Business Mailing Address
First Line	:	10946 DERRINGER DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32829-7238
Country	:	US
Telephone Number	:	321-947-9948
Fax Number	:

Provider Business Practice Location Address
First Line	:	10946 DERRINGER DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32829-7238
Country	:	US
Telephone Number	:	321-947-9948
Fax Number	:

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

Provider Enumeration Date	:	03/06/2026
Last Update Date	:	03/06/2026

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