Healthcare Provider Details

I. General information

NPI: 1225276132
Provider Name (Legal Business Name): JANE PATRICIA FISCHER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2009
Last Update Date: 07/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5350 UNIVERSITY PKWY SUITE 200
SARASOTA FL
34243-5812
US

IV. Provider business mailing address

PO BOX 863407
ORLANDO FL
32886-3407
US

V. Phone/Fax

Practice location:
  • Phone: 941-917-8300
  • Fax: 941-917-4023
Mailing address:
  • Phone: 941-917-8345
  • Fax: 941-917-7885

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP9170420
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: