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NPI Code Detail

MEDICARE: NATALIE KELLY SPERANZO-OTERO APRN

MEDICARE: NATALIE KELLY SPERANZO-OTERO 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
1364SP0808XPsychiatric/Mental Health Clinical Nurse SpecialistARNP9231203FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11679797856OTHERFLNPI

General Provider Information

NPI Number : 1679797856
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIE KELLY SPERANZO-OTERO APRN
Provider Business Mailing Address
First Line : 2725 REBECCA LN STE 107
Second Line :
City : ORANGE CITY
State : FL
Zip : 32763-8350
Country : US
Telephone Number : 386-775-0736
Fax Number : 386-775-0738
Provider Business Practice Location Address
First Line : 2725 REBECCA LN STE 107
Second Line :
City : ORANGE CITY
State : FL
Zip : 32763-8350
Country : US
Telephone Number : 386-775-0736
Fax Number : 386-775-0738
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2007
Last Update Date : 09/29/2025

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