MEDICARE: NAVONDRIA FLOWERS 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	363L00000X	Nurse Practitioner	APRN3422342	FL
2	2080P0210X	Pediatric Nephrology Physician	APRN3422342	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	:	1679031181
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAVONDRIA FLOWERS APRN

Provider Business Mailing Address
First Line	:	10140 CENTURION PKWY N
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-0532
Country	:	US
Telephone Number	:	904-697-4600
Fax Number	:	904-697-5102

Provider Business Practice Location Address
First Line	:	807 CHILDRENS WAY
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-8426
Country	:	US
Telephone Number	:	904-697-3600
Fax Number	:	904-697-3927

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

Provider Enumeration Date	:	03/05/2019
Last Update Date	:	01/02/2026

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Directions to “ NAVONDRIA FLOWERS APRN” Practice Location

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