MEDICARE: RONALD NAU 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	363L00000X	Nurse Practitioner	ARNP2576172	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	:	1134332109
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONALD NAU ARNP

Provider Business Mailing Address
First Line	:	9780 E INDIGO ST
Second Line	:	STE 204
City	:	MIAMI
State	:	FL
Zip	:	33157-5610
Country	:	US
Telephone Number	:	407-648-5343
Fax Number	:	407-648-5023

Provider Business Practice Location Address
First Line	:	2840 N HIAWASSEE RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32818-3319
Country	:	US
Telephone Number	:	407-378-6288
Fax Number	:	407-648-5023

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

Provider Enumeration Date	:	05/07/2007
Last Update Date	:	09/08/2021

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