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NPI Code Detail

MEDICARE: MR. GINTARAS RAZAITIS PMHNP-BC, FNP-C

MEDICARE:  MR. GINTARAS  RAZAITIS  PMHNP-BC, FNP-C
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
1363L00000XNurse PractitionerAPRN9302589FL
2363LF0000XFamily Nurse PractitionerAPRN9302589FL
3363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN9302589FL

General Provider Information

NPI Number : 1518413434
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. GINTARAS RAZAITIS PMHNP-BC, FNP-C
Provider Business Mailing Address
First Line : 805 E BROWARD BLVD STE 301
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33301-2046
Country : US
Telephone Number : 954-994-1312
Fax Number : 954-466-3888
Provider Business Practice Location Address
First Line : 805 E BROWARD BLVD STE 301
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33301-2046
Country : US
Telephone Number : 954-994-1312
Fax Number : 954-466-3888
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2016
Last Update Date : 12/05/2024

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Directions to “ MR. GINTARAS RAZAITIS PMHNP-BC, FNP-C” Practice Location

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