DINA MARIA FEDOR


Address: 500 E Adams St, Jacksonville, FL 32202
Phone: 9046964339

DINA MARIA FEDOR (NPI# 1164728010) 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) 1164728010
Entity Type Individual
Full Name DINA MARIA FEDOR
Other Name DINA WARN
Credential ARNP
Practice Address 500 E Adams St
Jacksonville
FL 32202
Mailing Address 4069 Tyndel Creek Ct
Jacksonville
FL 32223-7474
Practice Telephone 9046964339
Mailing Telephone 5153712489
Enumeration Date 2011-02-09
Last Update Date 2018-06-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
9325745 FL Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1514 Nira St, Jacksonville, FL 322078652 9043874991
13460 Beach Blvd Unit 1, Jacksonville, FL 322240290 9049002606

Office Location

Street Address 500 E ADAMS ST
City JACKSONVILLE
State FL
Zip Code 32202

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578861704 Catherine F Baker Nurse Practitioner 500 E Adams St, Jacksonville, FL 32202-2813 2011-03-12

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NPI Name Taxonomy Address Enumeration
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1689695611 Maryam M Pasha Emergency Medicine 221 N. Hogan St, 401, Jacksonville, FL 32202 2006-07-23
1629174917 Jose A Santana Internal Medicine 3625 University Blvd S, Emergency Department, Jacksonville, FL 32202 2006-09-15
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1861999625 Bianca Holcombe Counselor 1010 E Adams St Ste 1111013, Jacksonville, FL 32202-1902 2018-04-09
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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1649877200 Shalom Barile Nurse Practitioner 1377 Ingleside Ave, Jacksonville, FL 32205-7733 2020-10-07
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1063029577 Erica Francisca Andrade Nurse Practitioner 5475 Turkey Creek Rd, Jacksonville, FL 32244-8549 2020-09-29
1568078418 Jennifer Ruth Woodard Nurse Practitioner 29 Trinity Way, Jacksonville, AL 36265-5813 2020-09-16
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1063025906 Fabiola Baptiste Nurse Practitioner 9143 Philips Hwy Ste 110, Jacksonville, FL 32256-1365 2020-08-29
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Competitor

Search similar providers

City JACKSONVILLE
Zip Code 32202

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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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