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NPI Code Detail

MEDICARE: MR. CHRYSANTUS NFORBI FUSI

MEDICARE: MR. CHRYSANTUS NFORBI FUSI
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner11014218FL

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 : 1205580396
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHRYSANTUS NFORBI FUSI
Provider Business Mailing Address
First Line : 2995 DREW ST FL 2
Second Line :
City : CLEARWATER
State : FL
Zip : 33759-3012
Country : US
Telephone Number : 727-532-0002
Fax Number :
Provider Business Practice Location Address
First Line : 8002 KING HELIE BLVD
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34653-1435
Country : US
Telephone Number : 866-762-1743
Fax Number : 727-816-1222
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2022
Last Update Date : 05/29/2026

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