MEDICARE: DR. MAUDE EXANTUS 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
1	363LF0000X	Family Nurse Practitioner	9252859	FL

General Provider Information

NPI Number	:	1033461470
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAUDE EXANTUS DNP, APRN, FNP-BC

Provider Business Mailing Address
First Line	:	2719 HOLLYWOOD BLVD STE A-1794
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-4821
Country	:	US
Telephone Number	:	754-777-0828
Fax Number	:

Provider Business Practice Location Address
First Line	:	595 S FEDERAL HWY STE 130
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33432-6096
Country	:	US
Telephone Number	:	561-338-3343
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/09/2012
Last Update Date	:	04/26/2023

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