Mogena Padron, Yudaisy

Mogena Padron, Yudaisy is an individual health care provider with primary practice located at 1539 Dale Mabry Hwy Ste 102 , Lutz FL 33548-3008. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Mogena Padron, Yudaisy can be contacted via phone (813) 909-7102.

Contact Information

Primary practice address
1539 Dale Mabry Hwy Ste 102 Lutz FL 33548-3008
Phone: (813) 909-7102
Fax: (813) 909-0199
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0102580 Florida
Other Service Providers / Case Manager/Care Coordinator 171M00000X 0105383 Florida

Profile Details

NPI number 1831800218
LBN Legal business name Mogena Padron, Yudaisy
Credentials CBHCMS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2022
Last updated May 6th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1831800218 NPPES
Florida Other CBHCM0105383 FLORIDA CERTIFICATION BOARD
Florida Other CBHCMS0102580 FLORIDA CERTIFICATION BOARD
Florida MEDICAID 116404300 FLORIDA CERTIFICATION BOARD

Popular Providers