Healthcare Provider Details

I. General information

NPI: 1396656047
Provider Name (Legal Business Name): XENLIFE HEALTH AND WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3662 AVALON PARK EAST BLVD STE 2070
ORLANDO FL
32828-7759
US

IV. Provider business mailing address

3662 AVALON PARK EAST BLVD STE 2070
ORLANDO FL
32828-7759
US

V. Phone/Fax

Practice location:
  • Phone: 978-906-0418
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DONNA-ARIE LANTON
Title or Position: OWNER
Credential: DNP
Phone: 978-906-0418