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NPI Code Detail

MEDICARE: MRS. GENEVA PALAIDIS ARNP

MEDICARE: MRS. GENEVA PALAIDIS 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
1363L00000XNurse Practitioner1658442FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11043236565OTHERFLGROUP NPI
21376544049OTHERFLNPI
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376544049
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. GENEVA PALAIDIS ARNP
Provider Business Mailing Address
First Line : 1259 S PINELLAS AVE
Second Line :
City : TARPON SPRINGS
State : FL
Zip : 34689-3719
Country : US
Telephone Number : 727-938-1908
Fax Number : 727-938-8693
Provider Business Practice Location Address
First Line : 1259 S PINELLAS AVE
Second Line :
City : TARPON SPRINGS
State : FL
Zip : 34689-3719
Country : US
Telephone Number : 727-938-1908
Fax Number : 727-938-8693
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2005
Last Update Date : 12/30/2009

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Directions to “ MRS. GENEVA PALAIDIS ARNP” Practice Location

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