Provider Demographics
NPI:1942565635
Name:SPEZIANI, FIORELLA G (FNP-BC, PMHNP-BC)
Entity type:Individual
Prefix:MS
First Name:FIORELLA
Middle Name:G
Last Name:SPEZIANI
Suffix:
Gender:F
Credentials:FNP-BC, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11767 S DIXIE HWY # 175
Mailing Address - Street 2:
Mailing Address - City:PINECREST
Mailing Address - State:FL
Mailing Address - Zip Code:33156-4438
Mailing Address - Country:US
Mailing Address - Phone:305-775-6570
Mailing Address - Fax:
Practice Address - Street 1:6150 SW 76TH ST
Practice Address - Street 2:
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-5062
Practice Address - Country:US
Practice Address - Phone:305-663-1738
Practice Address - Fax:305-663-7281
Is Sole Proprietor?:No
Enumeration Date:2012-07-09
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9249510363LP0808X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health