Individual
BECKY FELICIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 LONG ST, LAKELAND, FL 33801-2926
(863) 513-5715
Mailing address
1320 LONG ST, LAKELAND, FL 33801-2926
(863) 513-5715
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104009500
—
FL
Enumeration date
01/16/2019
Last updated
01/10/2020
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