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NPI Code Detail

MEDICARE: DR. NAYADE SIZEMORE

MEDICARE: DR. NAYADE SIZEMORE
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
1363LP0200XPediatric Nurse PractitionerAPRN11028084FL

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 : 1518740604
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NAYADE SIZEMORE
Provider Business Mailing Address
First Line : 392 RIVERCLIFF TRL
Second Line :
City : ST AUGUSTINE
State : FL
Zip : 32092-1255
Country : US
Telephone Number : 904-303-4992
Fax Number :
Provider Business Practice Location Address
First Line : 800 PRUDENTIAL DR
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-8211
Country : US
Telephone Number : 904-202-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2023
Last Update Date : 01/12/2026

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