Healthcare Provider Details

I. General information

NPI: 1265596167
Provider Name (Legal Business Name): MONICA CLAIRE PEEKE ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/22/2006
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

622 LOBLOLLY PL
AUBURNDALE FL
33823-6734
US

IV. Provider business mailing address

622 LOBLOLLY PL
AUBURNDALE FL
33823-6734
US

V. Phone/Fax

Practice location:
  • Phone: 863-398-0410
  • Fax:
Mailing address:
  • Phone: 863-398-0410
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberARNP 9197582
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberARNP 9197582
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: