Healthcare Provider Details

I. General information

NPI: 1407286305
Provider Name (Legal Business Name): YAIR R NUNEZ APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/14/2013
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 E ALTAMONTE DR STE 1000
ALTAMONTE SPRINGS FL
32701-4403
US

IV. Provider business mailing address

303 E ALTAMONTE DR STE 1000
ALTAMONTE SPRINGS FL
32701-4403
US

V. Phone/Fax

Practice location:
  • Phone: 407-349-7917
  • Fax: 407-205-1060
Mailing address:
  • Phone: 407-349-7917
  • Fax: 407-205-1060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License NumberAPRN9316666
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: