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NPI Code Detail

MEDICARE: DAWN RUSKIN CERVANTES ARNP

MEDICARE: DAWN RUSKIN CERVANTES 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
1363LF0000XFamily Nurse PractitionerARNP9179646FL

General Provider Information

NPI Number : 1497241459
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAWN RUSKIN CERVANTES ARNP
Provider Business Mailing Address
First Line : 7335 W SAND LAKE RD STE 200
Second Line :
City : ORLANDO
State : FL
Zip : 32819-5539
Country : US
Telephone Number : 407-352-8553
Fax Number : 407-352-8412
Provider Business Practice Location Address
First Line : 7335 W SAND LAKE RD STE 200
Second Line :
City : ORLANDO
State : FL
Zip : 32819-5539
Country : US
Telephone Number : 407-352-8553
Fax Number : 407-352-8412
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2018
Last Update Date : 11/30/2021

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Directions to “ DAWN RUSKIN CERVANTES ARNP” Practice Location

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