MEDICARE: MRS. ANA MARIA CLASS NP

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	363LG0600X	Gerontology Nurse Practitioner	9352815	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	L4FQP	OTHER	FL	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861923179
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANA MARIA CLASS NP

Provider Business Mailing Address
First Line	:	6101 BLUE LAGOON DR STE 200
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-3168
Country	:	US
Telephone Number	:	844-630-0700
Fax Number	:	877-374-1924

Provider Business Practice Location Address
First Line	:	5997 S GOLDENROD RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32822-8775
Country	:	US
Telephone Number	:	407-856-1900
Fax Number	:	407-856-2389

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

Provider Enumeration Date	:	03/27/2017
Last Update Date	:	02/13/2026

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