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NPI Code Detail

MEDICARE: ANET CHAMIZO

MEDICARE:   ANET  CHAMIZO
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
1106S00000XBehavior TechnicianFL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659827541
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANET CHAMIZO
Provider Business Mailing Address
First Line : 15081 SW 177TH TER
Second Line :
City : MIAMI
State : FL
Zip : 33187-6830
Country : US
Telephone Number : 305-282-5435
Fax Number :
Provider Business Practice Location Address
First Line : 19802 SW 129TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33177-4021
Country : US
Telephone Number : 305-282-5435
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2016
Last Update Date : 03/23/2018

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Directions to “ ANET CHAMIZO ” Practice Location

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