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NPI Code Detail

MEDICARE: DEENA GANESH ARNP

MEDICARE: DEENA GANESH 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
1363L00000XNurse PractitionerARNP9412841FL
2363LG0600XGerontology Nurse PractitionerARNP9412841FL
3363LP0808XPsychiatric/Mental Health Nurse PractitionerARNP9412841FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ARNP9412841OTHERFLLICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194100842
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEENA GANESH ARNP
Provider Business Mailing Address
First Line : 5510 N HESPERIDES ST
Second Line :
City : TAMPA
State : FL
Zip : 33614-5414
Country : US
Telephone Number : 813-277-4571
Fax Number :
Provider Business Practice Location Address
First Line : 5510 N HESPERIDES ST
Second Line :
City : TAMPA
State : FL
Zip : 33614-5414
Country : US
Telephone Number : 813-467-6111
Fax Number : 813-467-6013
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2015
Last Update Date : 12/05/2025

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