Healthcare Provider Details

I. General information

NPI: 1942042288
Provider Name (Legal Business Name): GENESIS NINOSHKA FIGUEROA DELGADO ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2024
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9975 TAVISTOCK LAKES BLVD STE 280
ORLANDO FL
32827-7665
US

IV. Provider business mailing address

9975 TAVISTOCK LAKES BLVD STE 280
ORLANDO FL
32827-7665
US

V. Phone/Fax

Practice location:
  • Phone: 407-845-8364
  • Fax: 407-845-8365
Mailing address:
  • Phone: 407-845-8364
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11032912
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: