Healthcare Provider Details

I. General information

NPI: 1164788618
Provider Name (Legal Business Name): GINA FORONDA OBMANA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: GINA OBMANA NGUYEN MD

II. Dates (important events)

Enumeration Date: 04/10/2012
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1171 CLIFF ROSE DR
WINTER SPRINGS FL
32708-2808
US

IV. Provider business mailing address

1171 CLIFF ROSE DR
WINTER SPRINGS FL
32708-2808
US

V. Phone/Fax

Practice location:
  • Phone: 407-770-1414
  • Fax: 407-447-8876
Mailing address:
  • Phone: 407-770-1414
  • Fax: 407-447-8876

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME 122206
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: