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NPI Code Detail

MEDICARE: NINA CIRKOVIC APRN

MEDICARE: NINA CIRKOVIC APRN
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
1363LF0000XFamily Nurse PractitionerAPRN11038299FL

General Provider Information

NPI Number : 1003709452
Entity Type Code : Individual
Provider Name (Legal Business Name) : NINA CIRKOVIC APRN
Provider Business Mailing Address
First Line : PO BOX 102222
Second Line :
City : ATLANTA
State : GA
Zip : 30368-2222
Country : US
Telephone Number : 239-274-8200
Fax Number :
Provider Business Practice Location Address
First Line : 2895 HUELAND POND BLVD STE 100
Second Line :
City : WESLEY CHAPEL
State : FL
Zip : 33543-7504
Country : US
Telephone Number : 813-279-7107
Fax Number : 813-973-1090
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2025
Last Update Date : 03/05/2026

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