Healthcare Provider Details

I. General information

NPI: 1437400157
Provider Name (Legal Business Name): PATRICIA PIPER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2012
Last Update Date: 05/16/2023
Certification Date: 05/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

885 SEDALIA ST STE 100
OCOEE FL
34761-3164
US

IV. Provider business mailing address

885 SEDALIA ST STE 100
OCOEE FL
34761-3164
US

V. Phone/Fax

Practice location:
  • Phone: 407-294-2994
  • Fax: 407-294-2882
Mailing address:
  • Phone: 407-294-2994
  • Fax: 407-294-2882

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number1-045094
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAPRN11025792
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: