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NPI Code Detail

MEDICARE: MADARKI TEJEDA

MEDICARE: MADARKI TEJEDA
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
1103K00000XBehavior Analyst1-25-80074FL

General Provider Information

NPI Number : 1962035097
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADARKI TEJEDA
Provider Business Mailing Address
First Line : 6010 LARMON ST
Second Line :
City : TAMPA
State : FL
Zip : 33634-5198
Country : US
Telephone Number : 813-484-1676
Fax Number :
Provider Business Practice Location Address
First Line : 4343 ANCHOR PLAZA PKWY
Second Line :
City : TAMPA
State : FL
Zip : 33634-7537
Country : US
Telephone Number : 772-773-1975
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2020
Last Update Date : 06/05/2025

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Directions to “ MADARKI TEJEDA ” Practice Location

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