| Doctor Name: | MRS. MARIA SEPULVEDA |
| NPI Number: | 1043532773 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 9243685 |
| Business Practice Address: | 1951 Sw 172nd Ave Suite 305 Miramar, FL - 330295593 |
| Business Phone Number: | 3056067028 |
| Business Fax Number: | 9543622761 |
| Mailing Address: | 2234 Colonial Blvd, Attn: Payer Contracting & Relations FORT MYERS |
| State: | FL |
| Postal Code: | 339071412 |
| Phone Number: | 2399317342 |
| Fax Number: | 2399317385 |
| NPI Enumeration Date: | 02/22/2010 |
| NPI Last Update Date: | 02/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 9243685 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |