Healthcare Provider Details

I. General information

NPI: 1770952889
Provider Name (Legal Business Name): JEAN-BAPTISTE CEME ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2015
Last Update Date: 07/16/2020
Certification Date: 07/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5730 LAKE UNDERHILL RD
ORLANDO FL
32807
US

IV. Provider business mailing address

4426 AZURE ISLE WAY
KISSIMMEE FL
34744-9600
US

V. Phone/Fax

Practice location:
  • Phone: 407-322-8645
  • Fax:
Mailing address:
  • Phone: 561-502-4544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP142941
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number9375663
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: