Provider Demographics
NPI:1477973162
Name:BOGGIANO, FIORINA CECILIA (OTR/L)
Entity Type:Individual
Prefix:
First Name:FIORINA
Middle Name:CECILIA
Last Name:BOGGIANO
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9790 NW 31ST ST
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33172-1059
Mailing Address - Country:US
Mailing Address - Phone:786-247-1864
Mailing Address - Fax:
Practice Address - Street 1:9790 NW 31ST ST
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33172-1059
Practice Address - Country:US
Practice Address - Phone:786-247-1864
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-21
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT16313225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist