Provider Information for 1639572472
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ZELIMNA TAVERAS MS, LMHC
Sex: Female
NPI: 1639572472
Last Updated: 2024-05-10
Certification Date: 2024-05-10
Certification Date: 2024-05-10
Details
Name | Value | ||||||||||||
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NPI | 1639572472 | ||||||||||||
Enumeration Date | 2014-10-08 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | YES | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 2201 NW CORPORATE BLVD STE 101 BOCA RATON, FL 33431-7337 United States Phone: 561-617-8751 | Fax:561-423-0711 | ||||||||||||
Primary Practice Address | 2201 NW CORPORATE BLVD STE 101 BOCA RATON, FL 33431-7337 United States Phone: 561-617-8751 | Fax:561-423-0711 | ||||||||||||
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