Healthcare Provider Details

I. General information

NPI: 1962331801
Provider Name (Legal Business Name): CIERA ENBERG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

83 W MILLER ST
ORLANDO FL
32806-2009
US

IV. Provider business mailing address

83 W MILLER ST
ORLANDO FL
32806-2031
US

V. Phone/Fax

Practice location:
  • Phone: 407-841-5218
  • Fax: 407-649-6939
Mailing address:
  • Phone: 407-841-5218
  • Fax: 407-649-6939

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9601457
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: