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Individual

ANABEL P PEREDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
220 N SYKES CREEK PKWY STE 301, MERRITT ISLAND, FL 32953-3490
(321) 361-5534
(321) 361-5543
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 361-5534

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN3380252
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN3380252
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101477400
FL
01
E5526T
FL MEDICARE
FL
01
P01165559
FL RR MEDICARE
FL
Enumeration date
08/23/2005
Last updated
05/09/2024
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