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NPI Code Detail

MEDICARE: EMILY MALDONADO APRN

MEDICARE: EMILY MALDONADO 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
1363LG0600XGerontology Nurse PractitionerAPRN11040168FL

General Provider Information

NPI Number : 1326937210
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY MALDONADO APRN
Provider Business Mailing Address
First Line : 1600 LAKELAND HILLS BLVD
Second Line :
City : LAKELAND
State : FL
Zip : 33805-3065
Country : US
Telephone Number : 863-680-7000
Fax Number : 866-264-8519
Provider Business Practice Location Address
First Line : 2300 E COUNTY ROAD 540A
Second Line :
City : LAKELAND
State : FL
Zip : 33813-3825
Country : US
Telephone Number : 863-680-7243
Fax Number : 866-264-8519
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2025
Last Update Date : 01/16/2026

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Directions to “ EMILY MALDONADO APRN” Practice Location

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