Individual
ALYSSA L MACCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5140 HIGHLANDS BY THE LAKE DR, LAKELAND, FL 33812-3083
(863) 640-8500
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9204843
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01904
UNIVERSAL
FL
01
—
200731387
TRICARE
FL
05
—
269836600
—
FL
01
—
301304
AVMED
FL
01
—
37919Z
BCBS PROVIDER #
FL
01
—
U7175X
MEDICARE PTAN
—
01
—
Y12VV
BCBS
FL
Enumeration date
11/29/2006
Last updated
02/22/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us