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NPI Code Detail

MEDICARE: LORAYNE ACOSTA HERNANDEZ

MEDICARE:   LORAYNE  ACOSTA HERNANDEZ
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
1106S00000XBehavior TechnicianFL

General Provider Information

NPI Number : 1902743297
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORAYNE ACOSTA HERNANDEZ
Provider Business Mailing Address
First Line : 670 GOODLETTE-FRANK RD N
Second Line :
City : NAPLES
State : FL
Zip : 34102-5614
Country : US
Telephone Number : 239-316-7656
Fax Number :
Provider Business Practice Location Address
First Line : 670 GOODLETTE-FRANK RD N
Second Line :
City : NAPLES
State : FL
Zip : 34102-5614
Country : US
Telephone Number : 239-316-7656
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2026
Last Update Date : 05/04/2026

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Directions to “ LORAYNE ACOSTA HERNANDEZ ” Practice Location

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