Healthcare Provider Details

I. General information

NPI: 1326505876
Provider Name (Legal Business Name): HOLLY CAUTHERS DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2019
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2711 MAGUIRE RD FL 34761
OCOEE FL
34761-4797
US

IV. Provider business mailing address

2711 MAGUIRE RD
OCOEE FL
34761-4797
US

V. Phone/Fax

Practice location:
  • Phone: 407-268-0000
  • Fax: 407-614-2300
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number200843487RN
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number201901129NP-PP
License Number StateOR
# 3
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number11038527
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: