Healthcare Provider Details

I. General information

NPI: 1255143699
Provider Name (Legal Business Name): ANAIS AMADOR CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2025
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 E PRINCETON ST STE 200
ORLANDO FL
32804-5555
US

IV. Provider business mailing address

14026 BRADBURY RD
ORLANDO FL
32828-4879
US

V. Phone/Fax

Practice location:
  • Phone: 407-303-1444
  • Fax: 407-303-1446
Mailing address:
  • Phone: 407-446-4030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPRN11037738
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: