Healthcare Provider Details

I. General information

NPI: 1023947959
Provider Name (Legal Business Name): KAREN GAY SANTOS CORDERO APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 N ORANGE AVE STE 800
ORLANDO FL
32801-2381
US

IV. Provider business mailing address

2166 GOLD DUST DR
MINNEOLA FL
34715-9320
US

V. Phone/Fax

Practice location:
  • Phone: 407-782-1215
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number9563130
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: