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NPI Code Detail

MEDICARE: MS. CRISTINA E. AZOR

MEDICARE:  MS. CRISTINA E. AZOR
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
1104100000XSocial Worker
2222Q00000XDevelopmental Therapist

Other Identifiers

General Provider Information

NPI Number : 1871695080
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CRISTINA E. AZOR
Provider Business Mailing Address
First Line : 17615 FRANJO RD
Second Line :
City : VILLAGE OF PALMETTO BAY
State : FL
Zip : 33157-5636
Country : US
Telephone Number : 786-268-2609
Fax Number : 305-252-2778
Provider Business Practice Location Address
First Line : 17615 FRANJO RD
Second Line :
City : VILLAGE OF PALMETTO BAY
State : FL
Zip : 33157-5636
Country : US
Telephone Number : 786-268-2609
Fax Number : 305-252-2778
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2006
Last Update Date : 02/22/2011

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