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NPI Code Detail

MEDICARE: LEETORIA EDWARDS ARNP

MEDICARE: LEETORIA EDWARDS 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
1363LP0200XPediatric Nurse PractitionerARNP9220776FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2Y08FEOTHERFLBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1881924777
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEETORIA EDWARDS ARNP
Provider Business Mailing Address
First Line : PO BOX 917770
Second Line :
City : ORLANDO
State : FL
Zip : 32891-0001
Country : US
Telephone Number : 813-974-2201
Fax Number : 813-974-4325
Provider Business Practice Location Address
First Line : 10740 PALM RIVER RD
Second Line :
City : TAMPA
State : FL
Zip : 33619-4573
Country : US
Telephone Number : 813-660-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2009
Last Update Date : 07/19/2021

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