Healthcare Provider Details

I. General information

NPI: 1790609790
Provider Name (Legal Business Name): JEAN ORELIEN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2601 7TH ST W
LEHIGH ACRES FL
33971-1451
US

IV. Provider business mailing address

2601 7TH ST W
LEHIGH ACRES FL
33971-1451
US

V. Phone/Fax

Practice location:
  • Phone: 239-922-3117
  • Fax:
Mailing address:
  • Phone: 239-922-3117
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11049779
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: