Healthcare Provider Details

I. General information

NPI: 1952658437
Provider Name (Legal Business Name): ACTIVE OPTIONS WELLNESS & CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2012
Last Update Date: 10/24/2026
Certification Date: 10/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

557 ZINFANDEL CT
OCOEE FL
34761-5037
US

IV. Provider business mailing address

557 ZINFANDEL CT
OCOEE FL
34761-5037
US

V. Phone/Fax

Practice location:
  • Phone: 407-765-3130
  • Fax:
Mailing address:
  • Phone: 407-765-3130
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code163WG0600X
TaxonomyGerontology Registered Nurse
License Number
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberARNP9180759
License Number StateFL

VIII. Authorized Official

Name: LLOYDA MAXINE ROSE-BAXTER
Title or Position: PRESIDENT
Credential: DNP, ANP- RN-BC, CCM
Phone: 407-765-3130