MEDICARE: AMY CERAS ARNP

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	ARNP3397222	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1043260532
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY CERAS ARNP

Provider Business Mailing Address
First Line	:	9009 CORPORATE LAKE DR
Second Line	:	SUITE 200
City	:	TAMPA
State	:	FL
Zip	:	33634-2367
Country	:	US
Telephone Number	:	727-453-9824
Fax Number	:	855-784-5407

Provider Business Practice Location Address
First Line	:	9009 CORPORATE LAKE DR
Second Line	:	SUITE 200
City	:	TAMPA
State	:	FL
Zip	:	33634-2367
Country	:	US
Telephone Number	:	727-453-9824
Fax Number	:	855-784-5407

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

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	07/20/2015

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