Provider Demographics
NPI:1053367821
Name:CADIZ, BEATRIZ AMELIA (OTR)
Entity type:Individual
Prefix:
First Name:BEATRIZ
Middle Name:AMELIA
Last Name:CADIZ
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1151 POST LAKE PL APT 109
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32703-8606
Mailing Address - Country:US
Mailing Address - Phone:305-934-0788
Mailing Address - Fax:
Practice Address - Street 1:1151 POST LAKE PL APT 109
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-8606
Practice Address - Country:US
Practice Address - Phone:305-934-0788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT12003225X00000X
GAOT007445225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003223646AMedicaid
FLZ106TOtherBLUE CROSS PROVIDER NUMBE
FL891268800Medicaid