MEDICARE: MS. FIORELLA G SPEZIANI FNP-BC, PMHNP-BC

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN9249510	FL
2	363LF0000X	Family Nurse Practitioner	APRN9249510	FL

General Provider Information

NPI Number	:	1942565635
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. FIORELLA G SPEZIANI FNP-BC, PMHNP-BC

Provider Business Mailing Address
First Line	:	11767 S DIXIE HWY # 175
Second Line	:
City	:	PINECREST
State	:	FL
Zip	:	33156-4438
Country	:	US
Telephone Number	:	305-775-6570
Fax Number	:

Provider Business Practice Location Address
First Line	:	6150 SW 76TH ST
Second Line	:
City	:	SOUTH MIAMI
State	:	FL
Zip	:	33143-5062
Country	:	US
Telephone Number	:	305-663-1738
Fax Number	:	305-663-7281

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

Provider Enumeration Date	:	07/09/2012
Last Update Date	:	06/13/2024

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