Healthcare Provider Details

I. General information

NPI: 1881071421
Provider Name (Legal Business Name): EDUARDA BRITO-PASCUAL NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2015
Last Update Date: 06/30/2024
Certification Date: 06/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 N LAKEMONT AVE
WINTER PARK FL
32792-3273
US

IV. Provider business mailing address

884 5TH AVE APT 2R
BROOKLYN NY
11232-2913
US

V. Phone/Fax

Practice location:
  • Phone: 407-646-7812
  • Fax: 407-303-0475
Mailing address:
  • Phone: 718-871-3666
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number584482-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF338150-1
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN9441800
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: