Healthcare Provider Details

I. General information

NPI: 1841112331
Provider Name (Legal Business Name): MS. NICOLE JEAN OSTEEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5201 RAYMOND ST
ORLANDO FL
32803-8208
US

IV. Provider business mailing address

4208 SUNNY BROOK WAY APT 206
WINTER SPRINGS FL
32708-6602
US

V. Phone/Fax

Practice location:
  • Phone: 407-454-2599
  • Fax:
Mailing address:
  • Phone: 407-454-2599
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number23368
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: