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NPI Code Detail

MEDICARE: DR. MAURICIO A NAVAS NUNEZ DNP

MEDICARE:  DR. MAURICIO A NAVAS NUNEZ  DNP
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
1364SA2200XAdult Health Clinical Nurse Specialist11004219FL
2363LP2300XPrimary Care Nurse Practitioner11004219FL
3363LA2200XAdult Health Nurse Practitioner11004219FL
4363L00000XNurse Practitioner11004219FL
5363LG0600XGerontology Nurse Practitioner11004219FL
6246ZC0007XSurgical Assistant

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 : 1518518059
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MAURICIO A NAVAS NUNEZ DNP
Provider Business Mailing Address
First Line : 157 BALTIMORE ST STE 102
Second Line :
City : CUMBERLAND
State : MD
Zip : 21502-2472
Country : US
Telephone Number : 301-722-0484
Fax Number : 833-903-0130
Provider Business Practice Location Address
First Line : 1507 S TUTTLE AVE
Second Line :
City : SARASOTA
State : FL
Zip : 34239-2608
Country : US
Telephone Number : 301-722-0484
Fax Number : 833-903-0130
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2019
Last Update Date : 01/15/2026

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