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NPI Code Detail

MEDICARE: MRS. KELLY JEAN DINAPOLI APRN

MEDICARE: MRS. KELLY JEAN DINAPOLI 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
1363LX0001XObstetrics & Gynecology Nurse PractitionerARNP2899262FL
2367A00000XAdvanced Practice Midwife2899262FL
3363LW0102XWomen's Health Nurse Practitioner2899262FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174520118
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KELLY JEAN DINAPOLI APRN
Provider Business Mailing Address
First Line : 5830 BRABROOK AVE
Second Line :
City : GRANT
State : FL
Zip : 32949-2129
Country : US
Telephone Number : 321-438-9209
Fax Number :
Provider Business Practice Location Address
First Line : 111 N ORANGE AVE STE 800
Second Line :
City : ORLANDO
State : FL
Zip : 32801-2381
Country : US
Telephone Number : 888-731-8994
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2005
Last Update Date : 02/18/2025

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