MEDICARE: DANA GREENGOLD LOVOI M.S.W.

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
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1801212881
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANA GREENGOLD LOVOI M.S.W.

Provider Business Mailing Address
First Line	:	2005 LAKE BALDWIN LN
Second Line	:	208
City	:	ORLANDO
State	:	FL
Zip	:	32814-6931
Country	:	US
Telephone Number	:	813-486-3331
Fax Number	:

Provider Business Practice Location Address
First Line	:	2005 LAKE BALDWIN LN
Second Line	:	208
City	:	ORLANDO
State	:	FL
Zip	:	32814-6931
Country	:	US
Telephone Number	:	813-486-3331
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/13/2014
Last Update Date	:	03/13/2014

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