MEDICARE: CAROLINA PAVON APRN - 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
1	363LF0000X	Family Nurse Practitioner	APRN11005098	FL

General Provider Information

NPI Number	:	1053951996
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINA PAVON APRN - FNP, BC

Provider Business Mailing Address
First Line	:	313 SW PINE ISLAND RD
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33991-2043
Country	:	US
Telephone Number	:	239-458-6755
Fax Number	:

Provider Business Practice Location Address
First Line	:	313 SW PINE ISLAND RD
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33991-2043
Country	:	US
Telephone Number	:	239-458-6755
Fax Number	:

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

Provider Enumeration Date	:	01/08/2020
Last Update Date	:	06/03/2024

Similar Medicare Providers

1033131883 — DR. JOHN STEPHEN WALSH MD
Practice Location Address:

313 SW PINE ISLAND RD
CAPE CORAL, FL
33991-2043

Practice Phone: 239-458-6755
Practice Fax:

1104992585 — GERALD A COWAN OD
Practice Location Address:

301 SW PINE ISLAND RD
CAPE CORAL, FL
33991-2043

Practice Phone: 239-800-6032
Practice Fax: 239-574-9038

1427416908 — DWIC OF TAMPA BAY, INC
Practice Location Address:

313 SW PINE ISLAND ROAD
CAPE CORAL, FL
33991-2043

Practice Phone: 239-458-6755
Practice Fax: 239-772-0421

1730633751 — DISHANT SHAH RPH
Practice Location Address:

301 SW PINE ISLAND RD
CAPE CORAL, FL
33991-2043

Practice Phone: 239-574-9047
Practice Fax: 239-800-6030

1477314136 — YURENIA BATISTA
Practice Location Address:

301 SE 14TH TER
CAPE CORAL, FL
33990-2043

Practice Phone: 239-319-9428
Practice Fax:

1043076847 — LILIANNET LEYVA RODRIGUEZ
Practice Location Address:

301 SE 14TH TER
CAPE CORAL, FL
33990-2043

Practice Phone: 239-737-5282
Practice Fax:

Directions to “ CAROLINA PAVON APRN - FNP, BC” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.