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NPI Code Detail

MEDICARE: RISALINDA FUNCION RUDIO MSN NP-C

MEDICARE: RISALINDA FUNCION RUDIO MSN NP-C
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
1163W00000XRegistered NurseARNP78853FL
2363LP2300XPrimary Care Nurse PractitionerARNP788532FL
3363LF0000XFamily Nurse PractitionerARNP788532FL

General Provider Information

NPI Number : 1831365469
Entity Type Code : Individual
Provider Name (Legal Business Name) : RISALINDA FUNCION RUDIO MSN NP-C
Provider Business Mailing Address
First Line : 2501 N ORANGE AVE
Second Line : SUITE 240
City : ORLANDO
State : FL
Zip : 32804-4603
Country : US
Telephone Number : 407-303-1812
Fax Number : 407-303-1815
Provider Business Practice Location Address
First Line : 5650 RED BUG LAKE RD
Second Line :
City : WINTER SPRINGS
State : FL
Zip : 32708-4904
Country : US
Telephone Number : 407-699-0781
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2008
Last Update Date : 01/25/2019

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