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NPI Code Detail

MEDICARE: MARIA DAMARIS TORRES

MEDICARE: MARIA DAMARIS TORRES
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
2103K00000XBehavior Analyst1-17-26092FL

General Provider Information

NPI Number : 1700234127
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA DAMARIS TORRES
Provider Business Mailing Address
First Line : 2622 HARTWOOD PINES WAY
Second Line :
City : CLERMONT
State : FL
Zip : 34711-5252
Country : US
Telephone Number : 407-455-4942
Fax Number :
Provider Business Practice Location Address
First Line : 17335 PAGONIA DR STE 109
Second Line :
City : CLERMONT
State : FL
Zip : 34711-6011
Country : US
Telephone Number : 407-614-4299
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2016
Last Update Date : 02/04/2021

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Directions to “ MARIA DAMARIS TORRES ” Practice Location

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