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NPI Code Detail

MEDICARE: SYLVICISE PACIUS CANEUS NP

MEDICARE: SYLVICISE PACIUS CANEUS NP
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 Practitioner647109FL
2363LF0000XFamily Nurse PractitionerAPRN11010254FL

General Provider Information

NPI Number : 1699378166
Entity Type Code : Individual
Provider Name (Legal Business Name) : SYLVICISE PACIUS CANEUS NP
Provider Business Mailing Address
First Line : 110 S WOODLAND ST
Second Line :
City : WINTER GARDEN
State : FL
Zip : 34787-3546
Country : US
Telephone Number : 407-905-8827
Fax Number :
Provider Business Practice Location Address
First Line : 840 MERCY DR
Second Line :
City : ORLANDO
State : FL
Zip : 32808-7820
Country : US
Telephone Number : 407-905-8827
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2020
Last Update Date : 03/18/2026

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Directions to “ SYLVICISE PACIUS CANEUS NP” Practice Location

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