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NPI Code Detail

MEDICARE: ELYSE MARIE HAMILTON APRN

MEDICARE: ELYSE MARIE HAMILTON 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
1363LF0000XFamily Nurse PractitionerAPRN11006587FL

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 : 1124622972
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELYSE MARIE HAMILTON APRN
Provider Business Mailing Address
First Line : 6101 BLUE LAGOON DR
Second Line : STE 400
City : MIAMI
State : FL
Zip : 33126-2051
Country : US
Telephone Number : 561-570-5172
Fax Number : 786-472-5770
Provider Business Practice Location Address
First Line : 228 W ALEXANDER ST
Second Line :
City : PLANT CITY
State : FL
Zip : 33563-7157
Country : US
Telephone Number : 813-754-5480
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/23/2020
Last Update Date : 03/25/2026

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Directions to “ ELYSE MARIE HAMILTON APRN” Practice Location

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