Healthcare Provider Details

I. General information

NPI: 1578368684
Provider Name (Legal Business Name): CAROLINA CRISTINA RAMIREZ RODRIGUEZ MSN, APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/14/2025
Last Update Date: 03/24/2025
Certification Date: 03/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

76 UNDERWOOD ST STE 300
ORLANDO FL
32806-1110
US

IV. Provider business mailing address

76 UNDERWOOD ST STE 300
ORLANDO FL
32806-1110
US

V. Phone/Fax

Practice location:
  • Phone: 321-841-7550
  • Fax: 321-841-1569
Mailing address:
  • Phone: 321-841-7550
  • Fax: 321-841-1569

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11037061
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN11037061
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: