Healthcare Provider Details

I. General information

NPI: 1225884695
Provider Name (Legal Business Name): YURISLEYDI HERNANDEZ CARDOZA ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/26/2024
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1117 S SEMORAN BLVD
ORLANDO FL
32807-1480
US

IV. Provider business mailing address

1117 S SEMORAN BLVD
ORLANDO FL
32807-1480
US

V. Phone/Fax

Practice location:
  • Phone: 407-930-1112
  • Fax: 407-930-1114
Mailing address:
  • Phone: 407-930-1112
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11032392
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number11032392
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: