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NPI Code Detail

MEDICARE: MISS JESSENIA COLON BONES PHD

MEDICARE: MISS JESSENIA COLON BONES PHD
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
1103TC0700XClinical PsychologistPY12106FL

General Provider Information

NPI Number : 1649555186
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS JESSENIA COLON BONES PHD
Provider Business Mailing Address
First Line : 1606 GAINES MILL CT APT 102
Second Line :
City : KISSIMMEE
State : FL
Zip : 34747-5193
Country : US
Telephone Number : 787-404-9618
Fax Number : 833-901-2937
Provider Business Practice Location Address
First Line : 1707 ORLANDO CENTRAL PKWY STE 480
Second Line :
City : ORLANDO
State : FL
Zip : 32809-5785
Country : US
Telephone Number : 407-382-9079
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2011
Last Update Date : 06/23/2026

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