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NPI Code Detail

MEDICARE: GALIA NISSIM

MEDICARE: GALIA NISSIM
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 CounselorIMH23331FL

General Provider Information

NPI Number : 1932990611
Entity Type Code : Individual
Provider Name (Legal Business Name) : GALIA NISSIM
Provider Business Mailing Address
First Line : 2825 W FOUNTAIN BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33609-4011
Country : US
Telephone Number : 718-781-7341
Fax Number :
Provider Business Practice Location Address
First Line : 5701 N FLORIDA AVE
Second Line :
City : TAMPA
State : FL
Zip : 33604-6913
Country : US
Telephone Number : 718-781-7341
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2025
Last Update Date : 05/13/2025

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Directions to “ GALIA NISSIM ” Practice Location

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