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NPI Code Detail

MEDICARE: ANGEL ERNESTO CAVEDA GIL APRN

MEDICARE: ANGEL ERNESTO CAVEDA GIL 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 PractitionerAPRN11025301FL

General Provider Information

NPI Number : 1457128316
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGEL ERNESTO CAVEDA GIL APRN
Provider Business Mailing Address
First Line : 14901 SW 80TH ST APT 201A
Second Line :
City : MIAMI
State : FL
Zip : 33193-3134
Country : US
Telephone Number : 178-630-4364
Fax Number :
Provider Business Practice Location Address
First Line : 14901 SW 80TH ST APT 201A
Second Line :
City : MIAMI
State : FL
Zip : 33193-3134
Country : US
Telephone Number : 786-304-3645
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2023
Last Update Date : 12/11/2023

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