Healthcare Provider Details

I. General information

NPI: 1528924552
Provider Name (Legal Business Name): SELINA SANCHEZ FRALIX
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2026
Last Update Date: 01/03/2026
Certification Date: 01/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13704 VILLAGE LAKEVIEW DR UNIT 250
WINDERMERE FL
34786-5198
US

IV. Provider business mailing address

3208 E COLONIAL DR UNIT 346
ORLANDO FL
32803-5127
US

V. Phone/Fax

Practice location:
  • Phone: 407-408-7931
  • Fax:
Mailing address:
  • Phone: 407-758-6686
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN9623195
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: