Healthcare Provider Details

I. General information

NPI: 1265327985
Provider Name (Legal Business Name): PATRICIA ELIZABETH CUMMINGS PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2025
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 W SR 434
LONGWOOD FL
32750-5119
US

IV. Provider business mailing address

25405 SAINT ANNE ST
SORRENTO FL
32776-9669
US

V. Phone/Fax

Practice location:
  • Phone: 407-262-2250
  • Fax:
Mailing address:
  • Phone: 352-978-2780
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11039960
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: