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NPI Code Detail

MEDICARE: DR. BREONA ALVARADO PSYD

MEDICARE: DR. BREONA ALVARADO PSYD
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
1103T00000XPsychologistPY12417FL
2103TC0700XClinical PsychologistPY12417FL
3390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1679261242
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BREONA ALVARADO PSYD
Provider Business Mailing Address
First Line : 5510 N HESPERIDES ST
Second Line :
City : TAMPA
State : FL
Zip : 33614-5414
Country : US
Telephone Number : 813-647-1111
Fax Number :
Provider Business Practice Location Address
First Line : 4700 MILLENIA BLVD STE 500
Second Line :
City : ORLANDO
State : FL
Zip : 32839-6019
Country : US
Telephone Number : 813-467-6111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2023
Last Update Date : 02/13/2026

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Directions to “ DR. BREONA ALVARADO PSYD” Practice Location

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