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NPI Code Detail

MEDICARE: AMBER NICOLE HASEGAWA

MEDICARE: AMBER NICOLE HASEGAWA
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
1363L00000XNurse PractitionerAPRN11035680FL
2363LF0000XFamily Nurse PractitionerAPRN11035680FL

General Provider Information

NPI Number : 1114739760
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER NICOLE HASEGAWA
Provider Business Mailing Address
First Line : 1937 HOFFNER AVE
Second Line :
City : BELLE ISLE
State : FL
Zip : 32809-3527
Country : US
Telephone Number : 407-536-3327
Fax Number :
Provider Business Practice Location Address
First Line : 601 E ROLLINS ST
Second Line :
City : ORLANDO
State : FL
Zip : 32803-1248
Country : US
Telephone Number : 407-303-5600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2025
Last Update Date : 01/21/2025

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Directions to “ AMBER NICOLE HASEGAWA ” Practice Location

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