Healthcare Provider Details

I. General information

NPI: 1801774708
Provider Name (Legal Business Name): ALDA CILINGIRI APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2025
Last Update Date: 09/26/2025
Certification Date: 09/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11705 SAN JOSE BLVD STE 110
JACKSONVILLE FL
32223-1653
US

IV. Provider business mailing address

11705 SAN JOSE BLVD STE 110
JACKSONVILLE FL
32223-1653
US

V. Phone/Fax

Practice location:
  • Phone: 904-453-7976
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11041209
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: