Healthcare Provider Details

I. General information

NPI: 1346274263
Provider Name (Legal Business Name): JANE Z DEUTCHMAN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

793 DOUGLAS AVE
ALTAMONTE SPRINGS FL
32714-2566
US

IV. Provider business mailing address

793 DOUGLAS AVE
ALTAMONTE SPRINGS FL
32714-2566
US

V. Phone/Fax

Practice location:
  • Phone: 407-862-5824
  • Fax: 407-774-0464
Mailing address:
  • Phone: 407-862-5824
  • Fax: 407-774-0464

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1013672
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: