Healthcare Provider Details

I. General information

NPI: 1821520404
Provider Name (Legal Business Name): AMY SAXTON ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2017
Last Update Date: 04/01/2020
Certification Date: 04/01/2020
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:
Mailing address:
  • Phone: 866-389-2727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9207381
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: