Healthcare Provider Details

I. General information

NPI: 1033042015
Provider Name (Legal Business Name): KAMARI CUMMINGS RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 PLANTATION OAK DR
ORLANDO FL
32824-4868
US

IV. Provider business mailing address

2150 PLANTATION OAK DR
ORLANDO FL
32824-4868
US

V. Phone/Fax

Practice location:
  • Phone: 407-404-0843
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberRN9514201
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: