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NPI Code Detail

MEDICARE: MRS. SOPHIA GASSANT

MEDICARE: MRS. SOPHIA GASSANT
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
1247200000XOther TechnicianFL
2106S00000XBehavior Technician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1247200000XOTHERFLTECHNICIAN, OTHER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699221937
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SOPHIA GASSANT
Provider Business Mailing Address
First Line : 1500 S DOUGLAS RD STE 230
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-4108
Country : US
Telephone Number : 844-244-1818
Fax Number :
Provider Business Practice Location Address
First Line : 3831 W VINE ST STE 60
Second Line :
City : KISSIMMEE
State : FL
Zip : 34741-4650
Country : US
Telephone Number : 407-584-3319
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2016
Last Update Date : 10/09/2023

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Directions to “ MRS. SOPHIA GASSANT ” Practice Location

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