MEDICARE: MS. LYNN CARTAGENA ARNP

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
1	363LF0000X	Family Nurse Practitioner	ARNP9268698	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ARNP9268698	OTHER	FL	LICENSE

General Provider Information

NPI Number	:	1548590342
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LYNN CARTAGENA ARNP

Provider Business Mailing Address
First Line	:	11211 N NEBRASKA AVE
Second Line	:	SUITE A-5
City	:	TAMPA
State	:	FL
Zip	:	33612-5777
Country	:	US
Telephone Number	:	813-514-2333
Fax Number	:	813-514-2216

Provider Business Practice Location Address
First Line	:	11211 N NEBRASKA AVE
Second Line	:	SUITE A-5
City	:	TAMPA
State	:	FL
Zip	:	33612-5777
Country	:	US
Telephone Number	:	813-514-2333
Fax Number	:	813-514-2216

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/30/2009
Last Update Date	:	12/30/2009

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