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NPI Code Detail

MEDICARE: MRS. CARMEN VICTORIA BURNES

MEDICARE: MRS. CARMEN VICTORIA BURNES
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 CounselorMH19727FL

General Provider Information

NPI Number : 1912548967
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CARMEN VICTORIA BURNES
Provider Business Mailing Address
First Line : 4555 HOFFNER AVE
Second Line :
City : ORLANDO
State : FL
Zip : 32812-2305
Country : US
Telephone Number : 407-760-9544
Fax Number :
Provider Business Practice Location Address
First Line : 4555 HOFFNER AVE
Second Line :
City : ORLANDO
State : FL
Zip : 32812-2305
Country : US
Telephone Number : 407-760-9544
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2019
Last Update Date : 12/08/2025

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