Healthcare Provider Details

I. General information

NPI: 1093660441
Provider Name (Legal Business Name): MADELEINE FRIAS HINOJOSA PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/02/2026
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 SW 34TH AVE STE 301
OCALA FL
34474-7463
US

IV. Provider business mailing address

3200 SW 34TH AVE STE 301
OCALA FL
34474-7463
US

V. Phone/Fax

Practice location:
  • Phone: 352-830-1400
  • Fax:
Mailing address:
  • Phone: 352-830-1400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11045721
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: