MEDICARE: CABRINI CADILLAC FARANO ARNP

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	ARNP 9328629	FL

General Provider Information

NPI Number	:	1255705836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CABRINI CADILLAC FARANO ARNP

Provider Business Mailing Address
First Line	:	12668 83RD LN N
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33412-2227
Country	:	US
Telephone Number	:	561-598-2424
Fax Number	:

Provider Business Practice Location Address
First Line	:	12668 83RD LN N
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33412-2227
Country	:	US
Telephone Number	:	561-598-2424
Fax Number	:

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

Provider Enumeration Date	:	11/19/2015
Last Update Date	:	11/19/2015

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