MEDICARE: CECILLE MARIE BARRIOS-CALDERIN FNP

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	APRN11047362	FL

General Provider Information

NPI Number	:	1932026267
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CECILLE MARIE BARRIOS-CALDERIN FNP

Provider Business Mailing Address
First Line	:	49 SUNBERRY WAY
Second Line	:
City	:	SAINT AUGUSTINE
State	:	FL
Zip	:	32092
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3525 US-17
Second Line	:
City	:	FLEMING ISLAND
State	:	FL
Zip	:	32003
Country	:	US
Telephone Number	:	305-409-7206
Fax Number	:

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

Provider Enumeration Date	:	06/29/2026
Last Update Date	:	06/29/2026

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