Individual
MS. BETSY SUZANNE CIROLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3505 UNIVERSITY BLVD W, JACKSONVILLE, FL 32217-2130
(904) 438-7683
Mailing address
300 WILMOT RD MS # 3113, DEERFIELD, IL 60015-4614
(800) 825-5467
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2065772
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001685500
—
FL
05
—
3002641 00
—
FL
01
—
E3331Y
MEDICARE PTAN
FL
Enumeration date
02/28/2007
Last updated
03/18/2015
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