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NPI Code Detail

MEDICARE: PATRICIA M CAVENDER FNP-C

MEDICARE: PATRICIA M CAVENDER FNP-C
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
1363LF0000XFamily Nurse Practitioner17807SC
2363LF0000XFamily Nurse Practitioner9451949FL

General Provider Information

NPI Number : 1962752188
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA M CAVENDER FNP-C
Provider Business Mailing Address
First Line : 12470 TELECOM DR STE 300W
Second Line :
City : TEMPLE TERRACE
State : FL
Zip : 33637-0904
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4200 W CYPRESS ST STE 690
Second Line :
City : TAMPA
State : FL
Zip : 33607-4112
Country : US
Telephone Number : 813-877-2200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2012
Last Update Date : 01/08/2020

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Directions to “ PATRICIA M CAVENDER FNP-C” Practice Location

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