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NPI Code Detail

MEDICARE: MARCELA AGUILAR GALICIA

MEDICARE:   MARCELA AGUILAR GALICIA
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
1103T00000XPsychologistPY11745FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932445376
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCELA AGUILAR GALICIA
Provider Business Mailing Address
First Line : 1655 PALM BEACH LAKES BLVD STE 300
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33401-2203
Country : US
Telephone Number : 561-612-6000
Fax Number : 561-612-6098
Provider Business Practice Location Address
First Line : 1655 PALM BEACH LAKES BLVD STE 300
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33401-2203
Country : US
Telephone Number : 561-612-6000
Fax Number : 561-612-6098
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2012
Last Update Date : 03/13/2023

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Directions to “ MARCELA AGUILAR GALICIA ” Practice Location

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