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NPI Code Detail

MEDICARE: ELSIE D VALENTIN MEDINA APRN, FNP-C

MEDICARE:   ELSIE D VALENTIN MEDINA  APRN, FNP-C
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 Practitioner11046082FL

General Provider Information

NPI Number : 1124967534
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELSIE D VALENTIN MEDINA APRN, FNP-C
Provider Business Mailing Address
First Line : 4620 N 22ND ST
Second Line :
City : TAMPA
State : FL
Zip : 33610-6205
Country : US
Telephone Number : 813-397-5300
Fax Number :
Provider Business Practice Location Address
First Line : 4620 N 22ND ST
Second Line :
City : TAMPA
State : FL
Zip : 33610-6205
Country : US
Telephone Number : 813-397-5300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2026
Last Update Date : 05/18/2026

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Directions to “ ELSIE D VALENTIN MEDINA APRN, FNP-C” Practice Location

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