MEDICARE: MISS WHITNIE SARON PADRON 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
1	363L00000X	Nurse Practitioner	ARNP9217816	FL

General Provider Information

NPI Number	:	1003149519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS WHITNIE SARON PADRON ARNP

Provider Business Mailing Address
First Line	:	4200 N ARMENIA AVE STE 1
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-6451
Country	:	US
Telephone Number	:	813-877-4811
Fax Number	:	813-872-8978

Provider Business Practice Location Address
First Line	:	5200 SEMINOLE BLVD
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33708-3378
Country	:	US
Telephone Number	:	727-392-3376
Fax Number	:	727-897-5263

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2009
Last Update Date	:	07/10/2019

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