Healthcare Provider Details

I. General information

NPI: 1992304133
Provider Name (Legal Business Name): DONAS MARIE USINA APRN, AGNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/20/2020
Last Update Date: 12/04/2024
Certification Date: 12/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1052 W SR 436 STE 1072
ALTAMONTE SPRINGS FL
32714-2939
US

IV. Provider business mailing address

865 GULF LAND DR
APOPKA FL
32712-4847
US

V. Phone/Fax

Practice location:
  • Phone: 321-972-6159
  • Fax: 321-326-1524
Mailing address:
  • Phone: 407-595-7002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number11009668
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: