Healthcare Provider Details

I. General information

NPI: 1265336358
Provider Name (Legal Business Name): BRYNN ELIZABETH FORSYTHE BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 WATERMAN WAY
TAVARES FL
32778-5266
US

IV. Provider business mailing address

1010 BRISTOL LAKES RD APT 101
MOUNT DORA FL
32757-7543
US

V. Phone/Fax

Practice location:
  • Phone: 352-253-3545
  • Fax:
Mailing address:
  • Phone: 407-683-2948
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberRN9626408
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: