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NPI Code Detail

MEDICARE: ENGINOVA L MASTROTI APRN

MEDICARE: ENGINOVA L MASTROTI 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
1363LA2200XAdult Health Nurse Practitioner11036463FL
2363LA2100XAcute Care Nurse Practitioner11036463FL

General Provider Information

NPI Number : 1265256366
Entity Type Code : Individual
Provider Name (Legal Business Name) : ENGINOVA L MASTROTI APRN
Provider Business Mailing Address
First Line : 11501 N MILITARY TRL
Second Line :
City : PALM BEACH GARDENS
State : FL
Zip : 33410-6507
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11501 N MILITARY TRL
Second Line :
City : PALM BEACH GARDENS
State : FL
Zip : 33410-6507
Country : US
Telephone Number : 954-954-8183
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2024
Last Update Date : 06/01/2026

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Directions to “ ENGINOVA L MASTROTI APRN” Practice Location

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