Healthcare Provider Details

I. General information

NPI: 1235033309
Provider Name (Legal Business Name): CARLA RAQUEL IENNE ORLANDI DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

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

13511 NEW JADE AVE
WIMAUMA FL
33598-4478
US

IV. Provider business mailing address

13511 NEW JADE AVE
WIMAUMA FL
33598-4478
US

V. Phone/Fax

Practice location:
  • Phone: 727-424-5202
  • Fax:
Mailing address:
  • Phone: 727-424-5202
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number016.0134475
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: