Healthcare Provider Details

I. General information

NPI: 1639661275
Provider Name (Legal Business Name): TARA DANIELLE POSTON FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2018
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1305 KUHL AVE STE 200
ORLANDO FL
32806-2013
US

IV. Provider business mailing address

1305 KUHL AVE STE 200
ORLANDO FL
32806-2013
US

V. Phone/Fax

Practice location:
  • Phone: 321-842-2273
  • Fax:
Mailing address:
  • Phone: 321-842-2273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN9294227
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9294227
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: