Provider Demographics
NPI:1851932941
Name:XAVIER, MILI MARIA (FNP)
Entity Type:Individual
Prefix:
First Name:MILI
Middle Name:MARIA
Last Name:XAVIER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5670 54TH AVE N STE A-1
Mailing Address - Street 2:
Mailing Address - City:KENNETH CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33709-2067
Mailing Address - Country:US
Mailing Address - Phone:727-548-0260
Mailing Address - Fax:727-548-0270
Practice Address - Street 1:5670 54TH AVE N STE A-1
Practice Address - Street 2:
Practice Address - City:KENNETH CITY
Practice Address - State:FL
Practice Address - Zip Code:33709-2067
Practice Address - Country:US
Practice Address - Phone:727-548-0260
Practice Address - Fax:727-548-0270
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-01
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11002643363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner