MEDICARE: AMI ANN LEMONIADES

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	RN9430409	FL

General Provider Information

NPI Number	:	1245196278
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMI ANN LEMONIADES

Provider Business Mailing Address
First Line	:	2230 MCCORMACK WAY
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32935-7177
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2230 MCCORMACK WAY
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32935-7177
Country	:	US
Telephone Number	:	321-501-5308
Fax Number	:

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

Provider Enumeration Date	:	01/03/2026
Last Update Date	:	01/12/2026

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Directions to “ AMI ANN LEMONIADES ” Practice Location

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