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NPI Code Detail

MEDICARE: VICTORIA RHODES ARNP

MEDICARE: VICTORIA RHODES 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
1363LF0000XFamily Nurse Practitioner2964902FL

General Provider Information

NPI Number : 1679025977
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA RHODES ARNP
Provider Business Mailing Address
First Line : 13731 METROPOLIS AVE
Second Line :
City : FORT MYERS
State : FL
Zip : 33912-7150
Country : US
Telephone Number : 239-561-5776
Fax Number : 239-333-1953
Provider Business Practice Location Address
First Line : 13731 METROPOLIS AVE
Second Line :
City : FORT MYERS
State : FL
Zip : 33912-7150
Country : US
Telephone Number : 239-561-5776
Fax Number : 239-333-1953
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2016
Last Update Date : 11/03/2016

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