Healthcare Provider Details

I. General information

NPI: 1154646123
Provider Name (Legal Business Name): DIANE ELISABETH STAMP ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2010
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2415 N ORANGE AVE STE 700
ORLANDO FL
32804-5521
US

IV. Provider business mailing address

2415 N ORANGE AVE STE 700
ORLANDO FL
32804-5521
US

V. Phone/Fax

Practice location:
  • Phone: 407-303-2474
  • Fax:
Mailing address:
  • Phone: 407-303-2474
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9162311
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: