Healthcare Provider Details

I. General information

NPI: 1902366594
Provider Name (Legal Business Name): BRITTANY TAYLOR CALDWELL APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRITTANY TAYLOR ROSENBAUER APRN

II. Dates (important events)

Enumeration Date: 03/21/2019
Last Update Date: 12/07/2023
Certification Date: 12/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 W CYPRESS ST STE 690
TAMPA FL
33607-4112
US

IV. Provider business mailing address

400 CELEBRATION PL STE A150
CELEBRATION FL
34747-4970
US

V. Phone/Fax

Practice location:
  • Phone: 863-616-3152
  • Fax:
Mailing address:
  • Phone: 407-303-3837
  • Fax: 407-303-3838

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11000181
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: