Healthcare Provider Details

I. General information

NPI: 1710868039
Provider Name (Legal Business Name): MELINDA ASLI KAYKU APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2025
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1155 ORANGE AVE
WINTER PARK FL
32789-4904
US

IV. Provider business mailing address

1155 ORANGE AVE
WINTER PARK FL
32789-4904
US

V. Phone/Fax

Practice location:
  • Phone: 407-907-6300
  • Fax:
Mailing address:
  • Phone: 407-907-6300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11042398
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9660004
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: