MEDICARE: JUANTIA Z RHYNES

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	163W00000X	Registered Nurse	RN9499626	FL
2	363LF0000X	Family Nurse Practitioner	APRN11028605	FL

General Provider Information

NPI Number	:	1598341604
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUANTIA Z RHYNES

Provider Business Mailing Address
First Line	:	9401 W COLONIAL DR STE 638
Second Line	:
City	:	OCOEE
State	:	FL
Zip	:	34761-6812
Country	:	US
Telephone Number	:	407-722-9474
Fax Number	:

Provider Business Practice Location Address
First Line	:	9401 W COLONIAL DR
Second Line	:
City	:	OCOEE
State	:	FL
Zip	:	34761-6802
Country	:	US
Telephone Number	:	407-722-9474
Fax Number	:

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

Provider Enumeration Date	:	03/19/2021
Last Update Date	:	02/07/2025

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Directions to “ JUANTIA Z RHYNES ” Practice Location

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