MEDICARE: MRS. YAJAIRA PABON HOME HEALTH AID

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
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1932934866
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. YAJAIRA PABON HOME HEALTH AID

Provider Business Mailing Address
First Line	:	5349 COMMANDER DR APT 207
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32822-1763
Country	:	US
Telephone Number	:	407-285-4915
Fax Number	:

Provider Business Practice Location Address
First Line	:	5349 COMMANDER DR APT 207
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32822-1763
Country	:	US
Telephone Number	:	407-285-4915
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/02/2024
Last Update Date	:	09/02/2024

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