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NPI Code Detail

MEDICARE: MRS. TATIANA LINARES ZANTUA MS, LMHC

MEDICARE:  MRS. TATIANA LINARES ZANTUA  MS, LMHC
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
1101YM0800XMental Health CounselorMH9668FL

General Provider Information

NPI Number : 1912151069
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TATIANA LINARES ZANTUA MS, LMHC
Provider Business Mailing Address
First Line : 10233 NW 57TH TER
Second Line :
City : DORAL
State : FL
Zip : 33178-2665
Country : US
Telephone Number : 305-801-9287
Fax Number :
Provider Business Practice Location Address
First Line : 3521 W BROWARD BLVD
Second Line : 3RD FLOOR
City : FT LAUDERDALE
State : FL
Zip : 33312-1048
Country : US
Telephone Number : 954-587-1008
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2008
Last Update Date : 11/14/2008

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Directions to “ MRS. TATIANA LINARES ZANTUA MS, LMHC” Practice Location

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