LIBERTAD FANTAUZZI


Address: 5747 Crowntree Ln Apt 8-302, Orlando, FL 32829-8050
Phone: 7573544107

LIBERTAD FANTAUZZI (NPI# 1831548056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831548056
Entity Type Individual
Full Name LIBERTAD FANTAUZZI
Practice Address 5747 Crowntree Ln Apt 8-302
Orlando
FL 32829-8050
Mailing Address 5747 Crowntree Ln 302 Apt 8-302
Orlando
FL 32829
Practice Telephone 7573544107
Mailing Telephone 7573544107
Enumeration Date 2016-06-08
Last Update Date 2016-06-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Office Location

Street Address 5747 CROWNTREE LN APT 8-302
City ORLANDO
State FL
Zip Code 32829-8050

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City ORLANDO
Zip Code 32829

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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