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NPI Code Detail

MEDICARE: SOPHIA PADRON APRN

MEDICARE: SOPHIA PADRON 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
1363LF0000XFamily Nurse Practitioner11006273FL

Other Identifiers

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

General Provider Information

NPI Number : 1518592880
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOPHIA PADRON APRN
Provider Business Mailing Address
First Line : 11700 OKEECHOBEE BLVD
Second Line :
City : ROYAL PALM BEACH
State : FL
Zip : 33411-8721
Country : US
Telephone Number : 561-790-0789
Fax Number :
Provider Business Practice Location Address
First Line : 11700 OKEECHOBEE BLVD
Second Line :
City : ROYAL PALM BEACH
State : FL
Zip : 33411-8721
Country : US
Telephone Number : 561-790-0789
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2020
Last Update Date : 07/15/2022

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Practice Fax:

Directions to “ SOPHIA PADRON APRN” Practice Location

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