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NPI Code Detail

MEDICARE: GERMELIA GEDE

MEDICARE: GERMELIA GEDE
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
1363LW0102XWomen's Health Nurse Practitioner11009734FL
2207Q00000XFamily Medicine PhysicianAPRN11009734FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023612314
Entity Type Code : Individual
Provider Name (Legal Business Name) : GERMELIA GEDE
Provider Business Mailing Address
First Line : PO BOX 734951
Second Line :
City : CHICAGO
State : IL
Zip : 60673-4951
Country : US
Telephone Number : 702-899-0595
Fax Number : 702-977-1496
Provider Business Practice Location Address
First Line : 10330 NUVISTA AVE
Second Line :
City : WELLINGTON
State : FL
Zip : 33414-9365
Country : US
Telephone Number : 872-231-3162
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/26/2020
Last Update Date : 03/31/2026

Similar Medicare Providers

1265751853 — MRS. LYSE LAURIN-PIERRE DNP, APRN
Practice Location Address:
10330 NUVISTA AVE
WELLINGTON, FL
33414-9365
Practice Phone: 872-231-3162
Practice Fax:
1295162451 — MRS. JHONI JOHNSON ARNP
Practice Location Address:
10330 NUVISTA AVE
WELLINGTON, FL
33414-9365
Practice Phone: 561-598-5419
Practice Fax:
1437689239 — RACHEL JEAN SMITH FNP-C
Practice Location Address:
10330 NUVISTA AVE
WELLINGTON, FL
33414-9365
Practice Phone: 872-231-3162
Practice Fax:
1871141895 — BARBARA ELIZABETH STANLEY
Practice Location Address:
10330 NUVISTA AVE
WELLINGTON, FL
33414-9365
Practice Phone: 872-231-3162
Practice Fax:
1760027767 — CAROL P ENNIS APRN
Practice Location Address:
10330 NUVISTA AVE
WELLINGTON, FL
33414-9365
Practice Phone: 561-598-5449
Practice Fax:
1558957100 — MISS SHAMEKA YVONNE TIME RN
Practice Location Address:
10330 NUVISTA AVE
WELLINGTON, FL
33414-9365
Practice Phone: 872-231-3162
Practice Fax:

Directions to “ GERMELIA GEDE ” Practice Location

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