MEDICARE: MRS. EVEDANIA DULCIO 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	163W00000X	Registered Nurse	RN9456258	FL
2	363LF0000X	Family Nurse Practitioner	APRN11040974	FL

General Provider Information

NPI Number	:	1881273548
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. EVEDANIA DULCIO ARNP

Provider Business Mailing Address
First Line	:	10761 NW 5TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33168-3208
Country	:	US
Telephone Number	:	786-445-7478
Fax Number	:

Provider Business Practice Location Address
First Line	:	10761 NW 5TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33168-3208
Country	:	US
Telephone Number	:	786-445-7478
Fax Number	:

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

Provider Enumeration Date	:	04/07/2021
Last Update Date	:	09/15/2025

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