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NPI Code Detail

MEDICARE: JEANINE L FEBRES ARNP

MEDICARE: JEANINE L FEBRES 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 PractitionerARNP9225493FL
2363LF0000XFamily Nurse PractitionerARNP9225493FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2ARNP9225493OTHERFLMEDICAL LICENSE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912208760
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEANINE L FEBRES ARNP
Provider Business Mailing Address
First Line : 2415 N ORANGE AVE STE 502
Second Line :
City : ORLANDO
State : FL
Zip : 32804-5503
Country : US
Telephone Number : 407-303-2801
Fax Number : 407-303-2805
Provider Business Practice Location Address
First Line : 2415 N ORANGE AVE STE 502
Second Line :
City : ORLANDO
State : FL
Zip : 32804-5503
Country : US
Telephone Number : 407-303-2801
Fax Number : 407-303-2805
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2010
Last Update Date : 09/28/2018

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