MEDICARE: ROSEMARIE F DOBRYDNEY 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	363LF0000X	Family Nurse Practitioner	APRN9311859	FL
2	363LF0000X	Family Nurse Practitioner	9311859	FL
3	363LF0000X	Family Nurse Practitioner	ARNP9311859	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912976606
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSEMARIE F DOBRYDNEY ARNP

Provider Business Mailing Address
First Line	:	5072 ANNUNCIATION CIR STE 325
Second Line	:
City	:	AVE MARIA
State	:	FL
Zip	:	34142-9730
Country	:	US
Telephone Number	:	239-899-6997
Fax Number	:	239-327-0090

Provider Business Practice Location Address
First Line	:	5072 ANNUNCIATION CIR STE 325
Second Line	:
City	:	AVE MARIA
State	:	FL
Zip	:	34142-9730
Country	:	US
Telephone Number	:	239-899-6997
Fax Number	:	239-327-0090

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

Provider Enumeration Date	:	03/15/2006
Last Update Date	:	07/12/2024

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