Basic Information
| Provider Information | |||||||||
| NPI: | 1003201468 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BERMUDEZ | ||||||||
| FirstName: | AIMEE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 350 7TH ST N | ||||||||
| Address2: | |||||||||
| City: | NAPLES | ||||||||
| State: | FL | ||||||||
| PostalCode: | 341025754 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2396243997 | ||||||||
| FaxNumber: | 2396248101 | ||||||||
| Practice Location | |||||||||
| Address1: | 350 7TH ST N | ||||||||
| Address2: | |||||||||
| City: | NAPLES | ||||||||
| State: | FL | ||||||||
| PostalCode: | 341025754 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2396243997 | ||||||||
| FaxNumber: | 2396248101 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/02/2015 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 9310332 | FL | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | 363L00000X | ARNP9310332 | FL | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
ID Information
| ID | Type | State | Issuer | Description | P967775 | 01 | FL | OPTIMUM | OTHER | IF216Z | 01 | FL | MEDICARE (BROWARD COUNTY) | OTHER | Y0RU8 | 01 | FL | BCBS FL | OTHER | 016751300 | 05 | FL | MEDICAID | IF216W | 01 | FL | MEDICARE | OTHER | P01503327 | 01 | FL | RAILROAD MEDICARE | OTHER | IF216Y | 01 | FL | MEDICARE (DADE COUNTY) | OTHER | 1042040 | 01 | FL | CIGNA | OTHER | 4544599 | 01 | FL | AETNA | OTHER | P103118 | 01 | FL | FREEDOM | OTHER |