Healthcare Provider Details

I. General information

NPI: 1023620853
Provider Name (Legal Business Name): DEANNA MARIE SALGUERO APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/22/2020
Last Update Date: 04/10/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 W OAK ST
KISSIMMEE FL
34741-4924
US

IV. Provider business mailing address

5171 SASSARI AVE
SAINT CLOUD FL
34771-9117
US

V. Phone/Fax

Practice location:
  • Phone: 407-846-2266
  • Fax:
Mailing address:
  • Phone: 407-433-8726
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number11008214
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11008214
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: