MEDICARE: CARETINUUM HEALTH, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center
2	363LF0000X	Family Nurse Practitioner

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104436492
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARETINUUM HEALTH, LLC

Provider Business Mailing Address
First Line	:	151 ANCONA AVE
Second Line	:
City	:	DEBARY
State	:	FL
Zip	:	32713-5403
Country	:	US
Telephone Number	:	407-361-5785
Fax Number	:

Provider Business Practice Location Address
First Line	:	405 WAYMONT CT STE 101
Second Line	:
City	:	LAKE MARY
State	:	FL
Zip	:	32746-3586
Country	:	US
Telephone Number	:	407-361-5785
Fax Number	:

Authorized Official
Title or Position	:	CO-FOUNDER; APRN
Name	:	MEAGAN BURGESS
Credential	:	APRN
Telephone Number	:	407-361-5785

Provider Enumeration Date	:	08/03/2020
Last Update Date	:	05/25/2026

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Directions to “CARETINUUM HEALTH, LLC ” Practice Location

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