MEDICARE: YU RIM CHRISTINA STAMPER

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
1	363LF0000X	Family Nurse Practitioner	11037833	FL

General Provider Information

NPI Number	:	1427857184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YU RIM CHRISTINA STAMPER

Provider Business Mailing Address
First Line	:	113 MOCKINGBIRD LN
Second Line	:
City	:	WINTER SPRINGS
State	:	FL
Zip	:	32708-3209
Country	:	US
Telephone Number	:	321-848-3304
Fax Number	:

Provider Business Practice Location Address
First Line	:	701 N FEDERAL HWY STE 601
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-2467
Country	:	US
Telephone Number	:	954-482-4747
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/13/2025
Last Update Date	:	03/13/2025

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Directions to “ YU RIM CHRISTINA STAMPER ” Practice Location

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