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NPI Code Detail

MEDICARE: AMELIA LUCILLE PERRY EGERTON

MEDICARE: AMELIA LUCILLE PERRY EGERTON
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 PractitionerAPRN11000571FL

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 : 1447722046
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMELIA LUCILLE PERRY EGERTON
Provider Business Mailing Address
First Line : 1950 HOSPITAL VIEW WAY
Second Line :
City : CLERMONT
State : FL
Zip : 34711-1926
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1950 HOSPITAL VIEW WAY
Second Line :
City : CLERMONT
State : FL
Zip : 34711-1926
Country : US
Telephone Number : 352-243-3443
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2018
Last Update Date : 02/06/2019

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Directions to “ AMELIA LUCILLE PERRY EGERTON ” Practice Location

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