Healthcare Provider Details

I. General information

NPI: 1043869837
Provider Name (Legal Business Name): DANUSIA BARBARA AZAMBUJA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BARBARA AZAMBUJA APRN

II. Dates (important events)

Enumeration Date: 09/05/2019
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 E ROLLINS ST
ORLANDO FL
32803-1248
US

IV. Provider business mailing address

300 LONGWOOD AVE
BOSTON MA
02115-5724
US

V. Phone/Fax

Practice location:
  • Phone: 407-975-0410
  • Fax: 407-975-0411
Mailing address:
  • Phone: 617-355-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11003989
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2390131
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: