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NPI Code Detail

MEDICARE: MRS. JENI-LYN CALABRO ARNP

MEDICARE: MRS. JENI-LYN CALABRO 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 Practitioner9199076FL

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 : 1306328398
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENI-LYN CALABRO ARNP
Provider Business Mailing Address
First Line : 2540 BASS WAY
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33026-3681
Country : US
Telephone Number : 754-234-1676
Fax Number :
Provider Business Practice Location Address
First Line : 4200 REGENT ST STE 200
Second Line :
City : COLUMBUS
State : OH
Zip : 43219-6229
Country : US
Telephone Number : 877-870-1775
Fax Number : 614-968-8840
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2018
Last Update Date : 03/27/2024

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