MEDICARE: DR. KUMAR JAIRAMDAS DNP,ARNP,FNP-C,ENP-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
1	363LF0000X	Family Nurse Practitioner	ARNP9246190	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P01667516	OTHER	FL	RR MEDICARE

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
2	Y0S6U	OTHER	FL	BC/BS FLORIDA BLUE
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154725778
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KUMAR JAIRAMDAS DNP,ARNP,FNP-C,ENP-C

Provider Business Mailing Address
First Line	:	5015 W NASSAU ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-3814
Country	:	US
Telephone Number	:	813-356-0196
Fax Number	:	813-356-0197

Provider Business Practice Location Address
First Line	:	1142 BELL SHOALS RD
Second Line	:
City	:	BRANDON
State	:	FL
Zip	:	33511-8909
Country	:	US
Telephone Number	:	813-677-8418
Fax Number	:	813-377-1686

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

Provider Enumeration Date	:	10/09/2014
Last Update Date	:	02/11/2026

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