MEDICARE: MRS. ANA MARIA CHIMENO DE BUZZI MA,LMHC

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	101YM0800X	Mental Health Counselor	MH 11072	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1354H	OTHER	NC	BCBSH
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	7440593	OTHER	NC	AETNA
4	2177639	OTHER	NC	CIGNA

General Provider Information

NPI Number	:	1689897266
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANA MARIA CHIMENO DE BUZZI MA,LMHC

Provider Business Mailing Address
First Line	:	201 CRANDON BLVD
Second Line	:	#343
City	:	KEY BISCAYNE
State	:	FL
Zip	:	33149-1519
Country	:	US
Telephone Number	:	336-210-8183
Fax Number	:	305-365-0757

Provider Business Practice Location Address
First Line	:	3692 SW 24TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33145-3033
Country	:	US
Telephone Number	:	336-210-8183
Fax Number	:	305-365-0757

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

Provider Enumeration Date	:	04/11/2007
Last Update Date	:	02/03/2012

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