Healthcare Provider Details

I. General information

NPI: 1477259976
Provider Name (Legal Business Name): DONNA WROBEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DONNA M ST. CYR APRN

II. Dates (important events)

Enumeration Date: 02/06/2023
Last Update Date: 12/21/2025
Certification Date: 12/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4024 REDCREST CT
ORLANDO FL
32817-3801
US

IV. Provider business mailing address

4024 REDCREST CT
ORLANDO FL
32817-3801
US

V. Phone/Fax

Practice location:
  • Phone: 321-463-4803
  • Fax: 321-306-2115
Mailing address:
  • Phone: 321-463-4803
  • Fax: 321-306-2115

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11024486
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: