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NPI Code Detail

MEDICARE: MR. ANTONIO RESSY ARNP

MEDICARE: MR. ANTONIO RESSY 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
1363LF0000XFamily Nurse PractitionerAPRN11027174FL

General Provider Information

NPI Number : 1285311993
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ANTONIO RESSY ARNP
Provider Business Mailing Address
First Line : 1840 KATZ CROSSING DR
Second Line :
City : KINDRED
State : FL
Zip : 34744-6094
Country : US
Telephone Number : 787-428-6619
Fax Number : 999-999-9999
Provider Business Practice Location Address
First Line : 3372 W SOUTHPORT RD
Second Line :
City : KISSIMMEE
State : FL
Zip : 34746-2706
Country : US
Telephone Number : 407-933-7900
Fax Number : 321-437-0072
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/04/2023
Last Update Date : 05/19/2026

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