Healthcare Provider Details

I. General information

NPI: 1770402166
Provider Name (Legal Business Name): NTF MEDICAL GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15148 CANOE PL
WINTER GARDEN FL
34787-4558
US

IV. Provider business mailing address

15148 CANOE PL
WINTER GARDEN FL
34787-4558
US

V. Phone/Fax

Practice location:
  • Phone: 352-274-0074
  • Fax:
Mailing address:
  • Phone: 352-274-0074
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: NAICIS MAURA CHIRINO
Title or Position: OWNER
Credential: APRN
Phone: 352-274-0074