MRS. SUSILLA SARDA CORY APRN NPI 1295396612

NPI Information

NPI: 1295396612
Provider Name: MRS. SUSILLA SARDA CORY, APRN
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
1222 S ORANGE AVE
ORLANDO, FL
ZIP 32806
Phone: (321) 841-6444
Get Directions

MRS. Susilla Sarda Cory, APRN is an adult health nurse practitioner in Orlando, FL with 5 years of experience. MRS. Susilla Sarda Cory, APRN NPI is 1295396612. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1222 S ORANGE AVE
ORLANDO, FL
ZIP 32806-215
Phone: (321) 841-6444
Fax: (407) 650-1307

The NPI 1295396612 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/26/2019 and was last updated on 9/27/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	APRN11002667	FLORIDA	Yes
2	363L00000X	Nurse Practitioner		APRN11002667	FLORIDA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	103766300	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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