MEDICARE: MRS. ALEXIA ANNA PIZZARRO FNP-C

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	F04220067	FL

General Provider Information

NPI Number	:	1780364935
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ALEXIA ANNA PIZZARRO FNP-C

Provider Business Mailing Address
First Line	:	10208 SW NEWBERRY AVE
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34987-2894
Country	:	US
Telephone Number	:	772-289-1177
Fax Number	:

Provider Business Practice Location Address
First Line	:	8515 S US HIGHWAY 1 STE 3
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34952-3346
Country	:	US
Telephone Number	:	772-380-4042
Fax Number	:

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

Provider Enumeration Date	:	07/21/2023
Last Update Date	:	04/24/2025

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