Healthcare Provider Details

I. General information

NPI: 1083551774
Provider Name (Legal Business Name): KARLA MARIE BERMUDEZ APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 MAITLAND AVE STE 1000
ALTAMONTE SPRINGS FL
32701-5449
US

IV. Provider business mailing address

7020 CALLICARPA DR APT 3304
ORLANDO FL
32821-4095
US

V. Phone/Fax

Practice location:
  • Phone: 407-331-6236
  • Fax:
Mailing address:
  • Phone: 386-396-1758
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11047212
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: