Healthcare Provider Details

I. General information

NPI: 1710955810
Provider Name (Legal Business Name): LISSETTE MURILLO-ARISTONDO ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LISSETTE MURILLO ARNP

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3070 DYER BLVD
KISSIMMEE FL
34741-7839
US

IV. Provider business mailing address

3070 DYER BLVD
KISSIMMEE FL
34741-7839
US

V. Phone/Fax

Practice location:
  • Phone: 407-932-7930
  • Fax: 321-203-4653
Mailing address:
  • Phone: 407-932-7930
  • Fax: 321-203-4653

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberARNP3078392
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP3078392
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: