SEVILLA BRONSON


Address: 4460 Westover Dr, Tallahassee, FL 32303-2461
Phone: 8505918555

SEVILLA BRONSON (NPI# 1093132359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093132359
Entity Type Individual
Full Name SEVILLA BRONSON
Practice Address 4460 Westover Dr
Tallahassee
FL 32303-2461
Practice Telephone 8505918555
Mailing Telephone 8505918555
Enumeration Date 2014-03-25
Last Update Date 2014-03-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
2009022 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4460 WESTOVER DR
City TALLAHASSEE
State FL
Zip Code 32303-2461

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1285180109 Jenetta R Nelson Social Worker 807 Goodbread Lane, Tallahassee, FL 32303 2016-08-31
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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1275963662 Generationspan Healthcare LLC Nurse Practitioner 400 Capital Cir Se Ste 18128, Tallahassee, FL 32301-3802 2013-11-21
1669993713 David Allen Curry Nurse Practitioner 1300 Medical Dr, Tallahassee, FL 32308-4646 2017-06-29
1831520063 Molly Seal Nurse Practitioner 2770 Capital Medical Blvd, Suite 200, Tallahassee, FL 32308-8417 2013-12-13

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Competitor

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City TALLAHASSEE
Zip Code 32303

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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