Healthcare Provider Details

I. General information

NPI: 1104835669
Provider Name (Legal Business Name): JOSEPH AQUILINA FNPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8409 SW 80TH ST STE 8
OCALA FL
34481-9117
US

IV. Provider business mailing address

601 S HARBOUR ISLAND BLVD STE 200
TAMPA FL
33602-5925
US

V. Phone/Fax

Practice location:
  • Phone: 352-414-1922
  • Fax: 352-414-1933
Mailing address:
  • Phone: 727-322-3439
  • Fax: 800-928-7449

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11045221
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: