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NPI Code Detail

MEDICARE: MARIA GUADALUPE VILLALOBOS RCSWI

MEDICARE: MARIA GUADALUPE VILLALOBOS RCSWI
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
1101YM0800XMental Health CounselorISW12861FL
2171M00000XCase Manager/Care Coordinator
31041C0700XClinical Social WorkerISW12861FL

General Provider Information

NPI Number : 1750796298
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA GUADALUPE VILLALOBOS RCSWI
Provider Business Mailing Address
First Line : 6718 LAKE NONA BLVD
Second Line :
City : ORLANDO
State : FL
Zip : 32827-7982
Country : US
Telephone Number : 407-476-1222
Fax Number :
Provider Business Practice Location Address
First Line : 6718 LAKE NONA BLVD
Second Line :
City : ORLANDO
State : FL
Zip : 32827-7982
Country : US
Telephone Number : 407-476-1222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2014
Last Update Date : 02/28/2022

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Directions to “ MARIA GUADALUPE VILLALOBOS RCSWI” Practice Location

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