Healthcare Provider Details

I. General information

NPI: 1871882936
Provider Name (Legal Business Name): DEIDRE L SFERLAZZA ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2011
Last Update Date: 04/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2111 SW 20TH PL
OCALA FL
34471-7734
US

IV. Provider business mailing address

2111 SW 20TH PL
OCALA FL
34471-7734
US

V. Phone/Fax

Practice location:
  • Phone: 352-622-4251
  • Fax: 352-873-3920
Mailing address:
  • Phone: 352-622-4251
  • Fax: 352-873-3920

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License NumberARNP9185319
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: