Healthcare Provider Details

I. General information

NPI: 1184591885
Provider Name (Legal Business Name): KIMBERLY A BURNS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/20/2025
Last Update Date: 10/20/2025
Certification Date: 10/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

390 N ORANGE AVE STE 2300
ORLANDO FL
32801-1684
US

IV. Provider business mailing address

390 N ORANGE AVE STE 2300
ORLANDO FL
32801-1684
US

V. Phone/Fax

Practice location:
  • Phone: 407-634-3267
  • Fax:
Mailing address:
  • Phone: 407-634-3267
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175L00000X
TaxonomyHomeopath
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: