Healthcare Provider Details

I. General information

NPI: 1659208403
Provider Name (Legal Business Name): EILEEN PINARES
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3361 ROUSE RD
ORLANDO FL
32817-2135
US

IV. Provider business mailing address

3361 ROUSE RD
ORLANDO FL
32817-2135
US

V. Phone/Fax

Practice location:
  • Phone: 305-989-5225
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAPRN11034448
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: