Healthcare Provider Details

I. General information

NPI: 1588394019
Provider Name (Legal Business Name): VINNECIA LANORDA ELLIOTT FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2022
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 E SOUTH ST STE 100
ORLANDO FL
32801-3508
US

IV. Provider business mailing address

320 E SOUTH ST STE 100
ORLANDO FL
32801-3508
US

V. Phone/Fax

Practice location:
  • Phone: 407-843-1180
  • Fax:
Mailing address:
  • Phone: 407-843-1180
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11019314
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberAPRN11019314
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: