MEDICARE: ANA MARIA FARRAMOLA

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1659032514
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANA MARIA FARRAMOLA

Provider Business Mailing Address
First Line	:	11218 SW 71ST LN
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33173-1915
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	55 SE 6TH ST APT 3307
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33131-2571
Country	:	US
Telephone Number	:	786-660-1852
Fax Number	:

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

Provider Enumeration Date	:	01/04/2022
Last Update Date	:	08/30/2023

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Directions to “ ANA MARIA FARRAMOLA ” Practice Location

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