MEDICARE: ILEANA NUNEZ ARNP-BC

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	363LF0000X	Family Nurse Practitioner	9167482	FL
2	363LA2200X	Adult Health Nurse Practitioner	APRN9167482	FL

General Provider Information

NPI Number	:	1396055950
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ILEANA NUNEZ ARNP-BC

Provider Business Mailing Address
First Line	:	3236 N POINCIANA BLVD STE 200
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34746-4688
Country	:	US
Telephone Number	:	407-635-5950
Fax Number	:	321-841-6567

Provider Business Practice Location Address
First Line	:	3236 N POINCIANA BLVD STE 200
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34746-4688
Country	:	US
Telephone Number	:	407-635-5950
Fax Number	:	321-841-6567

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2010
Last Update Date	:	02/03/2026

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