MEDICARE: MRS. KRISTY BERNARDI KURZ 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	363LP0200X	Pediatric Nurse Practitioner	ARNP9180976	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	15187901	OTHER	FL	CITRUS PROVIDER NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	380123	OTHER	FL	WELLCARE
4	317541	OTHER	FL	AMERIGROUP PROVIDER NUMBE
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932296654
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KRISTY BERNARDI KURZ ARNP

Provider Business Mailing Address
First Line	:	14618 MICHENER TRL
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32828-6458
Country	:	US
Telephone Number	:	321-206-3646
Fax Number	:

Provider Business Practice Location Address
First Line	:	6100 OLEANDER DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32807-3437
Country	:	US
Telephone Number	:	407-482-6377
Fax Number	:

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

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	09/16/2008

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