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NPI Code Detail

MEDICARE: MS. YAZMIN ESTHER DAVILA APRN

MEDICARE: MS. YAZMIN ESTHER DAVILA APRN
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 Practitioner11020783FL

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 : 1699493775
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. YAZMIN ESTHER DAVILA APRN
Provider Business Mailing Address
First Line : 508 S HABANA AVE STE 340
Second Line :
City : TAMPA
State : FL
Zip : 33609-4191
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 508 S HABANA AVE STE 340
Second Line :
City : TAMPA
State : FL
Zip : 33609-4191
Country : US
Telephone Number : 813-873-7367
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2022
Last Update Date : 08/16/2022

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