MEDICARE: JOHANNA C PACHECO

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	106S00000X	Behavior Technician		FL

General Provider Information

NPI Number	:	1891668588
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHANNA C PACHECO

Provider Business Mailing Address
First Line	:	1031 SE 24TH AVE
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33990-1931
Country	:	US
Telephone Number	:	239-379-2704
Fax Number	:

Provider Business Practice Location Address
First Line	:	1031 SE 24TH AVE
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33990-1931
Country	:	US
Telephone Number	:	239-379-2704
Fax Number	:

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

Provider Enumeration Date	:	09/29/2025
Last Update Date	:	09/29/2025

Similar Medicare Providers

1740433473 — JOSEPH A PERAINO RPH
Practice Location Address:

20 COURT HOUSE SOUTH DENNIS RD
CAPE MAY COURT HOUSE, NJ
08210-1931

Practice Phone: 609-465-4415
Practice Fax:

1568326643 — HELEN GONZALEZ MORENO
Practice Location Address:

1408 SE 17TH AVE
CAPE CORAL, FL
33990-3801

Practice Phone: 239-205-6766
Practice Fax:

1003404369 — YAMELL MARTIN PEREZ
Practice Location Address:

2301 DEL PRADO BLVD S
CAPE CORAL, FL
33990-4615

Practice Phone: 239-574-8880
Practice Fax: 239-574-4876

1316981368 — SANDRA P DESAI DPM
Practice Location Address:

316 DEL PRADO BLVD S
CAPE CORAL, FL
33990-1710

Practice Phone: 239-738-7324
Practice Fax: 239-458-2009

1700672722 — MR. ZEIAD AMR NABIH MOHAMED ELGAMMAL M.D
Practice Location Address:

636 DEL PRADO BLVD S LEE HEALTH CAPE CORAL HOSPITAL
CAPE CORAL, FL
33990

Practice Phone: 239-424-3161
Practice Fax:

1144818790 — FLORIDA PAIN AND REHABILITATION ASSOCIATES INC
Practice Location Address:

1031 SE 9TH PLACE , SUITE 5
CAPE CORAL, FL
33990

Practice Phone: 239-333-1177
Practice Fax: 239-939-4733

Directions to “ JOHANNA C PACHECO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.