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NPI Code Detail

MEDICARE: MRS. JASMIN SUAREZ-CORDERO MA

MEDICARE:  MRS. JASMIN  SUAREZ-CORDERO  MA
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1669985271
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JASMIN SUAREZ-CORDERO MA
Provider Business Mailing Address
First Line : 9931 DEAN ACRE DR
Second Line :
City : ORLANDO
State : FL
Zip : 32825-6561
Country : US
Telephone Number : 407-590-0787
Fax Number :
Provider Business Practice Location Address
First Line : 6900 S ORANGE BLOSSOM TRL
Second Line :
City : ORLANDO
State : FL
Zip : 32809-5745
Country : US
Telephone Number : 407-382-9079
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2017
Last Update Date : 11/06/2017

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Directions to “ MRS. JASMIN SUAREZ-CORDERO MA” Practice Location

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