Healthcare Provider Details

I. General information

NPI: 1912065673
Provider Name (Legal Business Name): PIA C VALVASSORI ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 10/16/2024
Certification Date: 10/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

232 N ORANGE BLOSSOM TRL
ORLANDO FL
32805-1612
US

IV. Provider business mailing address

232 N ORANGE BLOSSOM TRL
ORLANDO FL
32805-1612
US

V. Phone/Fax

Practice location:
  • Phone: 407-428-5751
  • Fax: 407-447-7245
Mailing address:
  • Phone: 407-428-5751
  • Fax: 407-447-7245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAPRN1932102
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LC1500X
TaxonomyCommunity Health Nurse Practitioner
License NumberARNP1932102
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code364SF0001X
TaxonomyFamily Health Clinical Nurse Specialist
License NumberARNP 1932102
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: