RECHELIEU LUBAN SUDARIO APRN NPI 1649919697

NPI Information

NPI: 1649919697
Provider Name: RECHELIEU LUBAN SUDARIO, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2233 PARK AVE STE 403&405
ORANGE PARK, FL
ZIP 32073
Phone: (904) 688-3000
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Rechelieu Luban Sudario, APRN is a family nurse practitioner in Orange Park, FL with 2 years of experience. Rechelieu Luban Sudario, APRN NPI is 1649919697. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2233 PARK AVE STE 403&405
ORANGE PARK, FL
ZIP 32073-570
Phone: (904) 688-3000
Fax: (904) 688-3001

The NPI 1649919697 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 5/28/2022 and was last updated on 6/2/2023.

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	363LF0000X	Nurse Practitioner	Family	APRN11019872	FLORIDA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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