MEDICARE: ZAMANTA REMOLINA

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	106S00000X	Behavior Technician	24348380	FL

General Provider Information

NPI Number	:	1629819206
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZAMANTA REMOLINA

Provider Business Mailing Address
First Line	:	3084 LANDINGS CIR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32824-7432
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	241 RUBY AVE STE 203
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34741-5627
Country	:	US
Telephone Number	:	954-997-4413
Fax Number	:

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

Provider Enumeration Date	:	06/05/2024
Last Update Date	:	06/05/2024

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Directions to “ ZAMANTA REMOLINA ” Practice Location

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