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NPI Code Detail

MEDICARE: MRS. PAULETTE GORLIN APRN

MEDICARE: MRS. PAULETTE GORLIN APRN
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
1363LG0600XGerontology Nurse Practitioner11023907FL

General Provider Information

NPI Number : 1932813003
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PAULETTE GORLIN APRN
Provider Business Mailing Address
First Line : 1250 N VANTAGE POINT DR
Second Line :
City : CRYSTAL RIVER
State : FL
Zip : 34429-5736
Country : US
Telephone Number : 352-795-0644
Fax Number :
Provider Business Practice Location Address
First Line : 1250 N VANTAGE POINT DR
Second Line :
City : CRYSTAL RIVER
State : FL
Zip : 34429-5736
Country : US
Telephone Number : 352-795-0644
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2023
Last Update Date : 02/10/2026

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