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NPI Code Detail

MEDICARE: LAVONTE MCDANIEL FNP-BC

MEDICARE: LAVONTE MCDANIEL FNP-BC
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 PractitionerAPRN11009950FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023613247
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAVONTE MCDANIEL FNP-BC
Provider Business Mailing Address
First Line : 264 SE MANDARIN WAY
Second Line :
City : LEE
State : FL
Zip : 32059-4744
Country : US
Telephone Number : 850-464-0949
Fax Number :
Provider Business Practice Location Address
First Line : 111 N ORANGE AVE STE 800
Second Line :
City : ORLANDO
State : FL
Zip : 32801-2381
Country : US
Telephone Number : 888-731-8994
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2020
Last Update Date : 05/27/2026

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Directions to “ LAVONTE MCDANIEL FNP-BC” Practice Location

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