Healthcare Provider Details

I. General information

NPI: 1437099843
Provider Name (Legal Business Name): ELISET AMADOR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8028 SPRING HILL DR STE E
SPRING HILL FL
34606-4433
US

IV. Provider business mailing address

14153 SPRING HILL DR
SPRING HILL FL
34609-5256
US

V. Phone/Fax

Practice location:
  • Phone: 813-380-7625
  • Fax:
Mailing address:
  • Phone: 813-380-7625
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9664244
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: