Healthcare Provider Details

I. General information

NPI: 1194330175
Provider Name (Legal Business Name): HERLIENI ESCALERA APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2020
Last Update Date: 08/14/2024
Certification Date: 08/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10000 W COLONIAL DR STE 289
OCOEE FL
34761-3432
US

IV. Provider business mailing address

10000 W COLONIAL DR STE 289
OCOEE FL
34761-3432
US

V. Phone/Fax

Practice location:
  • Phone: 321-841-4344
  • Fax: 321-842-4767
Mailing address:
  • Phone: 321-841-4344
  • Fax: 321-842-4767

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number11009158
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN11009158
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: