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NPI Code Detail

MEDICARE: EDITH B ALIDO DNP, APRN, FNP-BC

MEDICARE:   EDITH B ALIDO  DNP, APRN, FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner3390002FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
111813519OTHERFLCAQH
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023118874
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDITH B ALIDO DNP, APRN, FNP-BC
Provider Business Mailing Address
First Line : 5005 W DICKENS AVE
Second Line :
City : TAMPA
State : FL
Zip : 33629-7514
Country : US
Telephone Number : 352-634-3971
Fax Number : 813-374-2495
Provider Business Practice Location Address
First Line : 2812 N 22ND ST
Second Line :
City : TAMPA
State : FL
Zip : 33605-2762
Country : US
Telephone Number : 813-374-2494
Fax Number : 813-374-2495
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2006
Last Update Date : 04/27/2018

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Directions to “ EDITH B ALIDO DNP, APRN, FNP-BC” Practice Location

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