Yoandris Oduardo Victoria

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN9409003 Issued in FL

Practice address

12020 Midlake Dr
Tampa, FL 33612-4074

Phone

(786) 720-8620

Fax

(813) 755-4205

NPI assigned

Feb 6, 2015

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Victermahealth Corp

  • Health Service Clinic/Center
  • Tampa, FL
  • NPI 1043073422
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1164813531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12020 MIDLAKE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336124074",
            "telephone_number": "786-720-8620",
            "fax_number": "813-755-4205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12020 MIDLAKE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336124074",
            "telephone_number": "786-720-8620",
            "fax_number": "813-755-4205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODUARDO VICTORIA",
        "first_name": "YOANDRIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-06",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9409003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annet Odoardo
• Stephanie Barong Odoh, PA-C
• Denise Betty Odonnell, SLP
• Jonathan C Odonnell, PHARMD
• Carmen Natalia Odriscoll, MA OT
• Henry A Odukomaiya, M.D.
• Dana Odukoya, DO
• Mimi Odunewu, LCSW
• Cassandra Oeckinghaus, LCGC
• Richard Lawrence Oehler, M.D.

• Family Nurse Practitioner in Tampa, FL
• Providers in Tampa, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.