Healthcare Provider Details

I. General information

NPI: 1558955724
Provider Name (Legal Business Name): FROILAN ROSS BARCENA PANTALLA APRN, FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2021
Last Update Date: 11/05/2024
Certification Date: 11/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10000 W COLONIAL DR STE 482&484
OCOEE FL
34761-3400
US

IV. Provider business mailing address

10000 W COLONIAL DR STE 482&484
OCOEE FL
34761-3400
US

V. Phone/Fax

Practice location:
  • Phone: 321-841-6444
  • Fax: 407-650-1307
Mailing address:
  • Phone: 321-841-6444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11011873
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN11011873
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: