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NPI Code Detail

MEDICARE: LIBANESSA PICHARDO APRN

MEDICARE: LIBANESSA PICHARDO 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
12084P0800XPsychiatry PhysicianAPRN11046692FL

General Provider Information

NPI Number : 1881537454
Entity Type Code : Individual
Provider Name (Legal Business Name) : LIBANESSA PICHARDO APRN
Provider Business Mailing Address
First Line : 127 W FAIRBANKS AVE # 526
Second Line :
City : WINTER PARK
State : FL
Zip : 32789-4326
Country : US
Telephone Number : 850-687-5990
Fax Number :
Provider Business Practice Location Address
First Line : 111 N ORANGE AVE STE 800
Second Line :
City : ORLANDO
State : FL
Zip : 32801-2381
Country : US
Telephone Number : 850-687-5990
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2026
Last Update Date : 04/09/2026

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Directions to “ LIBANESSA PICHARDO APRN” Practice Location

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