Healthcare Provider Details

I. General information

NPI: 1447196720
Provider Name (Legal Business Name): PREETI VERMA LUTHRA FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5738 EMERINGTON CRES
ORLANDO FL
32819-4076
US

IV. Provider business mailing address

5738 EMERINGTON CRES
ORLANDO FL
32819-4076
US

V. Phone/Fax

Practice location:
  • Phone: 407-967-7658
  • Fax:
Mailing address:
  • Phone: 407-967-7658
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11047151
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: