Healthcare Provider Details

I. General information

NPI: 1548170038
Provider Name (Legal Business Name): AUDREANA HOGG FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

499 E CENTRAL PKWY STE 115
ALTAMONTE SPRINGS FL
32701-3449
US

IV. Provider business mailing address

1400 MORGAN STANLEY AVE UNIT 144
WINTER PARK FL
32789-1982
US

V. Phone/Fax

Practice location:
  • Phone: 407-671-5115
  • Fax:
Mailing address:
  • Phone: 954-612-1878
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11050798
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: