Healthcare Provider Details

I. General information

NPI: 1285552760
Provider Name (Legal Business Name): NAGHMA MANZUR FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1462 W OAK RIDGE RD
ORLANDO FL
32809-3905
US

IV. Provider business mailing address

8931 SOUTHERN BREEZE DR
ORLANDO FL
32836-5044
US

V. Phone/Fax

Practice location:
  • Phone: 407-888-6990
  • Fax: 407-888-3310
Mailing address:
  • Phone: 407-301-0736
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF07260460
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: