Provider Demographics
NPI:1437790045
Name:EXPOSITO, MILDREY (MSN,APRN,NP-C)
Entity Type:Individual
Prefix:
First Name:MILDREY
Middle Name:
Last Name:EXPOSITO
Suffix:
Gender:F
Credentials:MSN,APRN,NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5180 OVERSEAS HWY
Mailing Address - Street 2:
Mailing Address - City:MARATHON
Mailing Address - State:FL
Mailing Address - Zip Code:33050-2624
Mailing Address - Country:US
Mailing Address - Phone:305-517-6995
Mailing Address - Fax:305-517-6335
Practice Address - Street 1:5180 OVERSEAS HWY
Practice Address - Street 2:
Practice Address - City:MARATHON
Practice Address - State:FL
Practice Address - Zip Code:33050-2624
Practice Address - Country:US
Practice Address - Phone:305-517-6995
Practice Address - Fax:305-517-6335
Is Sole Proprietor?:No
Enumeration Date:2019-10-04
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11002646363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL111819700Medicaid