Healthcare Provider Details

I. General information

NPI: 1699589390
Provider Name (Legal Business Name): MARTHE RACHELLE ALEANDRE FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

100 N DEAN RD STE 101
ORLANDO FL
32825-3710
US

IV. Provider business mailing address

1451 WINGED FOOT DR
APOPKA FL
32712-2381
US

V. Phone/Fax

Practice location:
  • Phone: 407-384-7388
  • Fax:
Mailing address:
  • Phone: 954-336-1194
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF10241247
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: