Healthcare Provider Details

I. General information

NPI: 1982947669
Provider Name (Legal Business Name): LORENA NUNEZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LORENA RODRIGUEZ

II. Dates (important events)

Enumeration Date: 04/01/2013
Last Update Date: 04/04/2022
Certification Date: 04/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

83 W MILLER ST
ORLANDO FL
32806-2031
US

IV. Provider business mailing address

851 TRAFALGAR CT STE 300W
MAITLAND FL
32751-7425
US

V. Phone/Fax

Practice location:
  • Phone: 321-841-1920
  • Fax:
Mailing address:
  • Phone: 860-997-4467
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberME132768
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: