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NPI Code Detail

MEDICARE: MS. MAMATA PANDYA ARNP

MEDICARE: MS. MAMATA PANDYA 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
1363L00000XNurse PractitionerARNP9197896FL

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 : 1871981118
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MAMATA PANDYA ARNP
Provider Business Mailing Address
First Line : 455 PINELLAS ST STE 400
Second Line :
City : CLEARWATER
State : FL
Zip : 33756-3356
Country : US
Telephone Number : 727-445-1911
Fax Number : 727-445-1986
Provider Business Practice Location Address
First Line : 455 PINELLAS ST STE 400
Second Line :
City : CLEARWATER
State : FL
Zip : 33756-3356
Country : US
Telephone Number : 727-445-1911
Fax Number : 727-445-1986
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2015
Last Update Date : 01/29/2026

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Directions to “ MS. MAMATA PANDYA ARNP” Practice Location

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