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NPI Code Detail

MEDICARE: MRS. MARIA ROSE WHITE APRN

MEDICARE: MRS. MARIA ROSE WHITE 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
1363L00000XNurse PractitionerAPRN2675742FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ARNP2675742OTHERFLARNP LICENSE

General Provider Information

NPI Number : 1740209857
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARIA ROSE WHITE APRN
Provider Business Mailing Address
First Line : 2660 WEST FAIRBANKS AVENUE
Second Line :
City : WINTER PARK
State : FL
Zip : 32789
Country : US
Telephone Number : 407-898-2767
Fax Number : 321-248-3479
Provider Business Practice Location Address
First Line : 2660 WEST FAIRBANKS AVENUE
Second Line :
City : WINTER PARK
State : FL
Zip : 32789
Country : US
Telephone Number : 407-898-2767
Fax Number : 321-248-3479
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 06/04/2024

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Directions to “ MRS. MARIA ROSE WHITE APRN” Practice Location

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