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NPI Code Detail

MEDICARE: ANELL BEATRIZ FUNDORA

MEDICARE:   ANELL BEATRIZ FUNDORA
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
1235Z00000XSpeech-Language PathologistSA21154FL
2106S00000XBehavior Technician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861031072
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANELL BEATRIZ FUNDORA
Provider Business Mailing Address
First Line : 8828 NW 112TH TER
Second Line :
City : HIALEAH GARDENS
State : FL
Zip : 33018-4534
Country : US
Telephone Number : 305-680-9629
Fax Number :
Provider Business Practice Location Address
First Line : 4236 W 16TH AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33012-7624
Country : US
Telephone Number : 786-409-2646
Fax Number : 786-953-6553
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2020
Last Update Date : 01/06/2026

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Directions to “ ANELL BEATRIZ FUNDORA ” Practice Location

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