MEDICARE: YULISA ASTUDILLO 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
1	207Q00000X	Family Medicine Physician	ARNP9380923	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	:	1871003574
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YULISA ASTUDILLO ARNP

Provider Business Mailing Address
First Line	:	4530 S ORANGE BLOSSOM TRL # 965
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32839-1704
Country	:	US
Telephone Number	:	352-835-2391
Fax Number	:

Provider Business Practice Location Address
First Line	:	4530 S ORANGE BLOSSOM TRL # 965
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32839-1704
Country	:	US
Telephone Number	:	352-835-2391
Fax Number	:

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

Provider Enumeration Date	:	10/07/2017
Last Update Date	:	07/31/2023

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Directions to “ YULISA ASTUDILLO ARNP” Practice Location

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