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NPI Code Detail

MEDICARE: MARC IAN PEIPER ARNP

MEDICARE: MARC IAN PEIPER 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 PractitionerAPRN3413732FL
2363LF0000XFamily Nurse Practitioner100448GU
3363LA2200XAdult Health Nurse PractitionerAPRN3413732FL

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 : 1780673509
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARC IAN PEIPER ARNP
Provider Business Mailing Address
First Line : 12301 LAKE UNDERHILL RD STE 215
Second Line :
City : ORLANDO
State : FL
Zip : 32828-4511
Country : US
Telephone Number : 321-235-0692
Fax Number : 321-235-0694
Provider Business Practice Location Address
First Line : 12301 LAKE UNDERHILL RD STE 215
Second Line :
City : ORLANDO
State : FL
Zip : 32828-4511
Country : US
Telephone Number : 321-235-0692
Fax Number : 321-235-0694
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2005
Last Update Date : 09/16/2025

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Directions to “ MARC IAN PEIPER ARNP” Practice Location

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