Healthcare Provider Details

I. General information

NPI: 1427693464
Provider Name (Legal Business Name): JOALIZE MARIE KUHLMAN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JOALIZE MARIE GONZALEZ

II. Dates (important events)

Enumeration Date: 11/13/2019
Last Update Date: 11/10/2021
Certification Date: 11/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2415 N ORANGE AVE STE 700
ORLANDO FL
32804-5521
US

IV. Provider business mailing address

2415 N ORANGE AVE STE 700
ORLANDO FL
32804-5521
US

V. Phone/Fax

Practice location:
  • Phone: 407-303-2474
  • Fax: 407-303-0680
Mailing address:
  • Phone: 407-303-2474
  • Fax: 407-303-0680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number9361919
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11015045
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: