Healthcare Provider Details

I. General information

NPI: 1609116227
Provider Name (Legal Business Name): VICTORIA RINCK CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VICTORIA ZADOYAN CNM

II. Dates (important events)

Enumeration Date: 02/19/2013
Last Update Date: 01/31/2023
Certification Date: 01/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 E ROLLINS ST
ORLANDO FL
32803-1248
US

IV. Provider business mailing address

601 E ROLLINS ST
ORLANDO FL
32803-1248
US

V. Phone/Fax

Practice location:
  • Phone: 407-975-0406
  • Fax:
Mailing address:
  • Phone: 407-975-0406
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number2012041692
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number75898
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number2012041692
License Number StateMO
# 4
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPRN11020036
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: