Provider Demographics
NPI:1629947767
Name:PADMOS, VICTORIA JANELL (MTBC)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:JANELL
Last Name:PADMOS
Suffix:
Gender:F
Credentials:MTBC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7372 CHESAPEAKE CIR
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436-8545
Mailing Address - Country:US
Mailing Address - Phone:754-224-1000
Mailing Address - Fax:
Practice Address - Street 1:7372 CHESAPEAKE CIR
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33436-8545
Practice Address - Country:US
Practice Address - Phone:754-224-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-04
Last Update Date:2025-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL17987225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist