Healthcare Provider Details

I. General information

NPI: 1033832688
Provider Name (Legal Business Name): DEEPA RAMALINGAM MSN APRN FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2022
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2940 MALLORY CIR
KISSIMMEE FL
34747-1818
US

IV. Provider business mailing address

9038 OUTLOOK ROCK TRL
WINDERMERE FL
34786-9517
US

V. Phone/Fax

Practice location:
  • Phone: 407-375-9293
  • Fax:
Mailing address:
  • Phone: 407-375-9293
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number0042395
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP036317
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number236879
License Number StateAR
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberGAA-NP003594
License Number StateGA
# 5
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9400131
License Number StateFL
# 6
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN9400131
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: