MEDICARE: DEBORAH NICASIO DNP, APRN, FNP-BC

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
1	363LF0000X	Family Nurse Practitioner	11007573	FL
2	163W00000X	Registered Nurse	RN9391301	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801422969
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH NICASIO DNP, APRN, FNP-BC

Provider Business Mailing Address
First Line	:	2105 N NEBRASKA AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33602-2558
Country	:	US
Telephone Number	:	941-300-4440
Fax Number	:	941-404-1760

Provider Business Practice Location Address
First Line	:	408 7TH ST W
Second Line	:
City	:	PALMETTO
State	:	FL
Zip	:	34221-5209
Country	:	US
Telephone Number	:	941-803-7939
Fax Number	:	877-651-1335

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2020
Last Update Date	:	02/11/2026

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