MEDICARE: VIVIAN PAULINE HAIDERMOTA FNP, APRN

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	APRN11006795	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	:	1326676933
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIVIAN PAULINE HAIDERMOTA FNP, APRN

Provider Business Mailing Address
First Line	:	14100 FIVAY RD STE 160
Second Line	:
City	:	HUDSON
State	:	FL
Zip	:	34667-7194
Country	:	US
Telephone Number	:	727-862-1080
Fax Number	:

Provider Business Practice Location Address
First Line	:	14100 FIVAY RD STE 160
Second Line	:
City	:	HUDSON
State	:	FL
Zip	:	34667-7194
Country	:	US
Telephone Number	:	727-862-1080
Fax Number	:

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

Provider Enumeration Date	:	03/30/2020
Last Update Date	:	05/23/2025

Similar Medicare Providers

1831517598 — JAYMIN ASHOK PATEL MD
Practice Location Address:

14100 FIVAY RD STE 160
HUDSON, FL
34667-7194

Practice Phone: 727-862-1080
Practice Fax: 727-863-3093

1114918125 — DR. JOGI R. NAREDDY M.D.
Practice Location Address:

14100 FIVAY RD. , SUITE 160
HUDSON, FL
34667-7194

Practice Phone: 727-862-1080
Practice Fax: 727-863-3093

1275763757 — ANTON LISHMANOV M.D., PHD
Practice Location Address:

14100 FIVAY RD STE 160
HUDSON, FL
34667-7194

Practice Phone: 727-862-1080
Practice Fax: 727-863-3093

1649286261 — DR. DAVID HIRSCHAUER D.O.
Practice Location Address:

7315 HUDSON AVE
HUDSON, FL
34667-1158

Practice Phone: 727-868-9563
Practice Fax: 727-869-6909

1598495301 — SORAYA ANN SAVAGE APRN
Practice Location Address:

7614 JACQUE RD STE A
HUDSON, FL
34667-7195

Practice Phone: 813-356-0196
Practice Fax: 813-356-0197

1619906260 — DR. ARUN P. RAO MD
Practice Location Address:

7614 JACQUE RD , STE C
HUDSON, FL
34667-7195

Practice Phone: 423-408-7220
Practice Fax: 423-408-7405

Directions to “ VIVIAN PAULINE HAIDERMOTA FNP, APRN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.