Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

NP Extender Service LLC

Organization Gerontology Nurse Practitioner · NPI 1467676437

NP Extender Service LLC is a Gerontology Nurse Practitioner in St Petersburg, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

200 2nd Ave S # 340
St Petersburg, FL 33701-4313
Phone: (727) 465-8515
Fax: (727) 867-2119
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 1740872 (FL)

Record details

NPI number1467676437
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official M Davanzo Mbr — President · (727) 465-8515
NPI enumeratedApril 12, 2007
Last updated in NPPESAugust 22, 2020
Mailing address200 2nd Ave S, 340, St Petersburg, FL 33701-4313

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