MEDICARE: HEIDI MIGLIORE 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
1	363L00000X	Nurse Practitioner	ARNP9166520	FL
2	363LP2300X	Primary Care Nurse Practitioner	ARNP9166520	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	:	1538219753
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEIDI MIGLIORE ARNP

Provider Business Mailing Address
First Line	:	2115 CENTRAL AVE
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33713-8815
Country	:	US
Telephone Number	:	727-526-9135
Fax Number	:	727-526-4346

Provider Business Practice Location Address
First Line	:	2550 W DR MARTIN LUTHER KING JR BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-6302
Country	:	US
Telephone Number	:	813-871-5437
Fax Number	:

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

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	07/21/2022

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