MEDICARE: DR. NINA ANN CAVALLI M.D.

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	208D00000X	General Practice Physician	ME143314	FL
2	208000000X	Pediatrics Physician	25MA06395900	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164461810
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NINA ANN CAVALLI M.D.

Provider Business Mailing Address
First Line	:	5027 VANTAGE CT
Second Line	:
City	:	SAINT CLOUD
State	:	FL
Zip	:	34772-7564
Country	:	US
Telephone Number	:	201-693-7034
Fax Number	:	201-768-3840

Provider Business Practice Location Address
First Line	:	5027 VANTAGE CT
Second Line	:
City	:	SAINT CLOUD
State	:	FL
Zip	:	34772-7564
Country	:	US
Telephone Number	:	201-693-7034
Fax Number	:	201-768-3840

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

Provider Enumeration Date	:	06/06/2006
Last Update Date	:	03/24/2021

Similar Medicare Providers

1770303794 — MRS. VALERIE CRUZ POLANCO APRN-FNP
Practice Location Address:

1160 PLAYA DEL SOL LN
SAINT CLOUD, FL
34771-7564

Practice Phone: 407-222-7158
Practice Fax:

1417751314 — VALERIE CRUZ
Practice Location Address:

1160 PLAYA DEL SOL LN
SAINT CLOUD, FL
34771-7564

Practice Phone: 407-222-7158
Practice Fax:

1285681999 — MARIA DEFATIMA POZUELO MD
Practice Location Address:

1651 SE TIFFANY AVE
PORT SAINT LUCIE, FL
34952-7564

Practice Phone: 772-223-4978
Practice Fax: 772-345-1815

1396765285 — DR. DANIEL RAY OLSON D.C.
Practice Location Address:

2400 COUNTY ROAD D W
SAINT PAUL, MN
55112-7564

Practice Phone: 651-633-0155
Practice Fax: 651-604-2935

1467642728 — OLSON BROS. CHIROPRACTIC PA
Practice Location Address:

2400 COUNTY ROAD D W , SUITE 101
SAINT PAUL, MN
55112-7564

Practice Phone: 651-633-0155
Practice Fax: 651-604-2935

1811211386 — MRS. KATHERINE JANE ZACCHEO ARNP
Practice Location Address:

1651 SE TIFFANY AVE
PORT SAINT LUCIE, FL
34952-7564

Practice Phone: 772-398-1800
Practice Fax: 772-398-1815

Directions to “ DR. NINA ANN CAVALLI M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.