MEDICARE: ELAND HEALTH CAREERS TRAINING & EXAM PREP LLC

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	363LP2300X	Primary Care Nurse Practitioner

General Provider Information

NPI Number	:	1972986941
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELAND HEALTH CAREERS TRAINING & EXAM PREP LLC

Provider Business Mailing Address
First Line	:	1441 E FLETCHER AVE STE 221B
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33612-8808
Country	:	US
Telephone Number	:	813-833-2668
Fax Number	:	813-374-2080

Provider Business Practice Location Address
First Line	:	1441 E FLETCHER AVE STE 221B
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33612-8808
Country	:	US
Telephone Number	:	813-833-2668
Fax Number	:	813-374-2080

Authorized Official
Title or Position	:	MANAGER
Name	:	MRS. EMMA MAJAURA
Credential	:	ARNP
Telephone Number	:	813-833-2668

Provider Enumeration Date	:	07/08/2015
Last Update Date	:	10/22/2015

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