Healthcare Provider Details

I. General information

NPI: 1508361486
Provider Name (Legal Business Name): JULIANA ISAAC APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIANA AQUINO APRN

II. Dates (important events)

Enumeration Date: 03/24/2018
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12280 LAKE UNDERHILL RD
ORLANDO FL
32825-5009
US

IV. Provider business mailing address

12280 LAKE UNDERHILL RD
ORLANDO FL
32825-5009
US

V. Phone/Fax

Practice location:
  • Phone: 866-389-2728
  • Fax:
Mailing address:
  • Phone: 866-389-2727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9361938
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberRN500020777
License Number StateDC
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN9361938
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number4027052
License Number StateKS
# 5
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberAC006959
License Number StateME
# 6
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number112547-23
License Number StateNH
# 7
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberCNP241496
License Number StateME
# 8
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number101.0137346
License Number StateVT
# 9
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberNP500020777
License Number StateDC
# 10
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberLG-0012930
License Number StateDE
# 11
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberRN10015105
License Number StateMA
# 12
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberAPRN04304
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: