Healthcare Provider Details

I. General information

NPI: 1982342069
Provider Name (Legal Business Name): PAMELA Y LUND MSN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2022
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 THE HERMITS TRAIL
ALTAMONTE SPRINGS FL
32701
US

IV. Provider business mailing address

977 WILDFLOWER WAY
LONGWOOD FL
32750-4053
US

V. Phone/Fax

Practice location:
  • Phone: 407-644-4883
  • Fax:
Mailing address:
  • Phone: 407-415-9217
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11013619
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11013619
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: