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NPI Code Detail

MEDICARE: GERALDINE S PALLIJA ARNP

MEDICARE: GERALDINE S PALLIJA 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
1363LP0200XPediatric Nurse Practitioner9262876FL

General Provider Information

NPI Number : 1083680516
Entity Type Code : Individual
Provider Name (Legal Business Name) : GERALDINE S PALLIJA ARNP
Provider Business Mailing Address
First Line : 1859 SW NEWLAND WAY
Second Line :
City : LAKE CITY
State : FL
Zip : 32025-6966
Country : US
Telephone Number : 386-758-0003
Fax Number : 386-755-7940
Provider Business Practice Location Address
First Line : 1859 SW NEWLAND WAY
Second Line :
City : LAKE CITY
State : FL
Zip : 32025-6966
Country : US
Telephone Number : 386-758-0003
Fax Number : 386-755-7940
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2006
Last Update Date : 05/09/2011

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Directions to “ GERALDINE S PALLIJA ARNP” Practice Location

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