Healthcare Provider Details

I. General information

NPI: 1134038417
Provider Name (Legal Business Name): ARLENE L MANN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 AVENUE F NE
WINTER HAVEN FL
33881-4193
US

IV. Provider business mailing address

4019 WINDERLAKES DR
ORLANDO FL
32835-2603
US

V. Phone/Fax

Practice location:
  • Phone: 863-297-1834
  • Fax:
Mailing address:
  • Phone: 407-922-3838
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number11050488
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: