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NPI Code Detail

MEDICARE: ROXANA USEDA

MEDICARE:   ROXANA  USEDA
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 Practitioner11018749FL

General Provider Information

NPI Number : 1144979980
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROXANA USEDA
Provider Business Mailing Address
First Line : 6816 GRIFFIN RD
Second Line :
City : DAVIE
State : FL
Zip : 33314-4341
Country : US
Telephone Number : 954-900-3163
Fax Number :
Provider Business Practice Location Address
First Line : 6816 GRIFFIN RD
Second Line :
City : DAVIE
State : FL
Zip : 33314-4341
Country : US
Telephone Number : 954-900-3163
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2022
Last Update Date : 03/28/2022

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Directions to “ ROXANA USEDA ” Practice Location

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