MEDICARE: MR. STEVEN TROY SPILLER FNP

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	APRN11038472	FL

General Provider Information

NPI Number	:	1154129658
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. STEVEN TROY SPILLER FNP

Provider Business Mailing Address
First Line	:	5036 SALERNO ST
Second Line	:
City	:	AVE MARIA
State	:	FL
Zip	:	34142-9578
Country	:	US
Telephone Number	:	561-502-8146
Fax Number	:

Provider Business Practice Location Address
First Line	:	5068 ANNUNCIATION CIR UNIT 111
Second Line	:
City	:	AVE MARIA
State	:	FL
Zip	:	34142-9668
Country	:	US
Telephone Number	:	239-867-4395
Fax Number	:

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

Provider Enumeration Date	:	03/03/2025
Last Update Date	:	03/28/2025

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