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NPI Code Detail

MEDICARE: EVELYN DE LA C PARDO

MEDICARE: EVELYN DE LA C PARDO
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
1363L00000XNurse Practitioner11039815FL

General Provider Information

NPI Number : 1003709189
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVELYN DE LA C PARDO
Provider Business Mailing Address
First Line : 3195 W 72ND TER
Second Line :
City : HIALEAH
State : FL
Zip : 33018-5224
Country : US
Telephone Number : 786-286-7667
Fax Number : 786-286-7667
Provider Business Practice Location Address
First Line : 3195 W 72ND TER
Second Line :
City : HIALEAH
State : FL
Zip : 33018-5224
Country : US
Telephone Number : 786-286-7667
Fax Number : 786-286-7667
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2025
Last Update Date : 05/29/2025

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Directions to “ EVELYN DE LA C PARDO ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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