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NPI Code Detail

MEDICARE: DANAY ALVAREZ GONZALEZ

MEDICARE: DANAY ALVAREZ GONZALEZ
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

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 : 1932693124
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANAY ALVAREZ GONZALEZ
Provider Business Mailing Address
First Line : 300 INTERNATIONAL PKWY STE 200
Second Line :
City : LAKE MARY
State : FL
Zip : 32746-5028
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4085 HANCOCK BRIDGE PKWY UNIT 10
Second Line :
City : NORTH FORT MYERS
State : FL
Zip : 33903-7219
Country : US
Telephone Number : 239-677-3767
Fax Number : 239-236-8081
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2018
Last Update Date : 07/18/2019

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