NPI: 1326752551 · FORT MYERS, FL 33907 · Pediatrics Physician · NPI assigned 01/11/2023
| Authorized Official | TAILLACQ BLANCO, DAYLI (ADMINISTRATOR) |
| NPI Enumeration Date | 01/11/2023 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 337 | $316K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1025 | Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem | 337 | 82 | $316K |