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NPI Code Detail

MEDICARE: HILARY MARKETTA

MEDICARE: HILARY MARKETTA
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
1174400000XSpecialist
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1649527532
Entity Type Code : Individual
Provider Name (Legal Business Name) : HILARY MARKETTA
Provider Business Mailing Address
First Line : 9218 RANDAL PARK BLVD UNIT 4131
Second Line :
City : ORLANDO
State : FL
Zip : 32832-4920
Country : US
Telephone Number : 407-615-0566
Fax Number :
Provider Business Practice Location Address
First Line : 7600 DR PHILLIPS BLVD STE 72
Second Line :
City : ORLANDO
State : FL
Zip : 32819-7238
Country : US
Telephone Number : 407-730-5969
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2012
Last Update Date : 10/25/2022

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Directions to “ HILARY MARKETTA ” Practice Location

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