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NPI Code Detail

MEDICARE: KAMILA ALEJANDRA LAGE

MEDICARE: KAMILA ALEJANDRA LAGE
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 TechnicianRBT-25-404570FL

General Provider Information

NPI Number : 1740094226
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAMILA ALEJANDRA LAGE
Provider Business Mailing Address
First Line : 3079 NW 11TH ST
Second Line : 3071
City : MIAMI
State : FL
Zip : 33125-5361
Country : US
Telephone Number : 813-850-4013
Fax Number :
Provider Business Practice Location Address
First Line : 3079 NW 11TH ST
Second Line : 3071
City : MIAMI
State : FL
Zip : 33125-5361
Country : US
Telephone Number : 813-850-4013
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2025
Last Update Date : 02/04/2025

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Directions to “ KAMILA ALEJANDRA LAGE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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