MEDICARE: MRS. LORI SUE VOTAPEK 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
1	363LF0000X	Family Nurse Practitioner	ARNP9219763	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1648968	OTHER	FL	CIGNA
2	7301928	OTHER	FL	AETNA
3	P958444	OTHER	FL	OPTIMUM
4	Y127C	OTHER	FL	BCBS OF FL
5	P01269668	OTHER	FL	RAILROAD MCR
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	P1019885	OTHER	FL	FREEDOM
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083878565
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LORI SUE VOTAPEK APRN

Provider Business Mailing Address
First Line	:	1660 MEDICAL BLVD STE 300
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34110-1497
Country	:	US
Telephone Number	:	239-513-0053
Fax Number	:	239-596-0900

Provider Business Practice Location Address
First Line	:	1660 MEDICAL BLVD STE 300
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34110-1497
Country	:	US
Telephone Number	:	239-513-0053
Fax Number	:	239-596-0900

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

Provider Enumeration Date	:	07/15/2008
Last Update Date	:	12/04/2023

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