Healthcare Provider Details

I. General information

NPI: 1891620993
Provider Name (Legal Business Name): MARIANA DIAS PARENTE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

730 RIVERBEND BLVD
LONGWOOD FL
32779-2349
US

IV. Provider business mailing address

730 RIVERBEND BLVD
LONGWOOD FL
32779-2349
US

V. Phone/Fax

Practice location:
  • Phone: 407-461-8077
  • Fax:
Mailing address:
  • Phone: 407-461-8077
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11050424
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: