Doctor Name: | EDITH B ALIDO |
NPI Number: | 1023118874 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP, FNP-C |
License Number: | 3390002 |
Business Practice Address: | 876 S Parsons Ave Brandon, FL - 335116007 |
Business Phone Number: | 8136533359 |
Business Fax Number: | 8136629639 |
Mailing Address: | 876 S Parsons Ave, BRANDON |
State: | FL |
Postal Code: | 335116007 |
Phone Number: | 8136533359 |
Fax Number: | 8136629639 |
NPI Enumeration Date: | 09/22/2006 |
NPI Last Update Date: | 01/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 3390002 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |