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NPI Code Detail

MEDICARE: BARBARO RAIMIS SAROSA CEPERO PMHNP-BC,FNP-C,APRN.

MEDICARE: BARBARO RAIMIS SAROSA CEPERO PMHNP-BC,FNP-C,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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN9293729FL
2363LF0000XFamily Nurse PractitionerARNP9293729FL

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 : 1477086544
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARO RAIMIS SAROSA CEPERO PMHNP-BC,FNP-C,APRN.
Provider Business Mailing Address
First Line : 9360 FONTAINEBLEAU BLVD APT D106
Second Line :
City : MIAMI
State : FL
Zip : 33172-5606
Country : US
Telephone Number : 305-562-6727
Fax Number :
Provider Business Practice Location Address
First Line : 3501 DEL PRADO BLVD S STE 303
Second Line :
City : CAPE CORAL
State : FL
Zip : 33904-7222
Country : US
Telephone Number : 239-317-0265
Fax Number : 239-673-7681
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2017
Last Update Date : 06/07/2026

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