Healthcare Provider Details

I. General information

NPI: 1851003388
Provider Name (Legal Business Name): PAMELA S VILARDI APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2022
Last Update Date: 02/17/2025
Certification Date: 02/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

508 S HABANA AVE STE 160
TAMPA FL
33609-4190
US

IV. Provider business mailing address

455 PINELLAS ST STE 400
CLEARWATER FL
33756-3356
US

V. Phone/Fax

Practice location:
  • Phone: 813-708-8346
  • Fax:
Mailing address:
  • Phone: 727-445-1911
  • Fax: 727-445-1986

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11022886
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11022886
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: