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NPI Code Detail

MEDICARE: VICTORIA MANIOTIS APRN

MEDICARE:   VICTORIA  MANIOTIS  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
1363LF0000XFamily Nurse Practitioner11008619FL

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 : 1447861463
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA MANIOTIS APRN
Provider Business Mailing Address
First Line : 3854 CARNATION CIR N
Second Line :
City : PALM BEACH GARDENS
State : FL
Zip : 33410-5632
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6517 TAFT ST
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33024-4062
Country : US
Telephone Number : 954-983-9191
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2020
Last Update Date : 08/13/2020

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Directions to “ VICTORIA MANIOTIS APRN” Practice Location

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