Healthcare Provider Details

I. General information

NPI: 1245199033
Provider Name (Legal Business Name): THAYNEE FILS AIME
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: THAYNEE HENRI

II. Dates (important events)

Enumeration Date: 01/19/2026
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

712 W 25TH ST
SANFORD FL
32771-4232
US

IV. Provider business mailing address

712 W 25TH ST
SANFORD FL
32771-4232
US

V. Phone/Fax

Practice location:
  • Phone: 407-402-2303
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11044837
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: