Healthcare Provider Details

I. General information

NPI: 1558868596
Provider Name (Legal Business Name): DEANNA TODOROVIC ARNP, CPNP-PC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2018
Last Update Date: 02/27/2020
Certification Date: 02/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 N ORANGE AVE STE 589
ORLANDO FL
32804-4647
US

IV. Provider business mailing address

2501 N ORANGE AVE STE 589
ORLANDO FL
32804-4647
US

V. Phone/Fax

Practice location:
  • Phone: 407-303-1300
  • Fax: 407-303-1301
Mailing address:
  • Phone: 407-303-1300
  • Fax: 407-303-1301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberARNP9368424
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: