Healthcare Provider Details

I. General information

NPI: 1407936164
Provider Name (Legal Business Name): KAROLINE ELIZABETH NEUMANN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 08/19/2020
Certification Date: 08/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2415 N ORANGE AVE STE 300
ORLANDO FL
32804-5505
US

IV. Provider business mailing address

2415 N ORANGE AVE STE 300
ORLANDO FL
32804-5505
US

V. Phone/Fax

Practice location:
  • Phone: 407-303-2615
  • Fax: 407-303-0415
Mailing address:
  • Phone: 407-303-2615
  • Fax: 407-303-0415

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ00086100
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN9354066
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number15345
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: