Healthcare Provider Details

I. General information

NPI: 1558500827
Provider Name (Legal Business Name): FRANKIE RENEE BEARDEN-CAUDLE ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/11/2009
Last Update Date: 10/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13454 S ORANGE BLOSSOM TRL
ORLANDO FL
32837-6601
US

IV. Provider business mailing address

13454 S ORANGE BLOSSOM TRL
ORLANDO FL
32837-6601
US

V. Phone/Fax

Practice location:
  • Phone: 407-240-3191
  • Fax: 407-240-3419
Mailing address:
  • Phone: 407-240-3191
  • Fax: 407-240-3419

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP3282802
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: