MEDICARE: MS. NEREIDA M SAVOY NP

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	ARNP1522832	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	:	1073510152
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NEREIDA M SAVOY NP

Provider Business Mailing Address
First Line	:	18107 SAILFISH DR APT B
Second Line	:
City	:	LUTZ
State	:	FL
Zip	:	33558-7728
Country	:	US
Telephone Number	:	813-493-3167
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	:	07/05/2005
Last Update Date	:	12/09/2019

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