Healthcare Provider Details

I. General information

NPI: 1033657044
Provider Name (Legal Business Name): CINDY LING FREEMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CINDY LING

II. Dates (important events)

Enumeration Date: 02/09/2017
Last Update Date: 06/24/2021
Certification Date: 06/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11555 REGENCY VILLAGE DR
ORLANDO FL
32821-7825
US

IV. Provider business mailing address

11555 REGENCY VILLAGE DR
ORLANDO FL
32821-7825
US

V. Phone/Fax

Practice location:
  • Phone: 689-210-0525
  • Fax: 833-654-0618
Mailing address:
  • Phone: 689-210-0525
  • Fax: 833-654-0618

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA005590
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP133252
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number11009337
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: