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NPI Code Detail

MEDICARE: SUSANA PALOMINO

MEDICARE:   SUSANA  PALOMINO
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
1222Q00000XDevelopmental Therapist

General Provider Information

NPI Number : 1760315121
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSANA PALOMINO
Provider Business Mailing Address
First Line : 801 TUSCANNY ST
Second Line :
City : BRANDON
State : FL
Zip : 33511-6150
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13200 MCCORMICK DR STE E-1
Second Line :
City : TAMPA
State : FL
Zip : 33626-3010
Country : US
Telephone Number : 813-814-5971
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2026
Last Update Date : 06/05/2026

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Directions to “ SUSANA PALOMINO ” Practice Location

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