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NPI Code Detail

MEDICARE: MAUDE FLORVIL

MEDICARE: MAUDE FLORVIL
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 PractitionerRN209906GA
2363LF0000XFamily Nurse Practitioner209906GA

General Provider Information

NPI Number : 1700323961
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAUDE FLORVIL
Provider Business Mailing Address
First Line : 2429 MARTIN LUTHER KING JR DR SW
Second Line :
City : ATLANTA
State : GA
Zip : 30311-1713
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2429 MARTIN LUTHER KING JR DR SW
Second Line :
City : ATLANTA
State : GA
Zip : 30311-1713
Country : US
Telephone Number : 770-951-8800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2017
Last Update Date : 06/07/2025

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Directions to “ MAUDE FLORVIL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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