Healthcare Provider Details

I. General information

NPI: 1548782832
Provider Name (Legal Business Name): CAROLINE HUFF ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2017
Last Update Date: 07/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1155 ORANGE AVE STE 2
WINTER PARK FL
32789-4904
US

IV. Provider business mailing address

1155 ORANGE AVE UNIT 2
WINTER PARK FL
32789-4904
US

V. Phone/Fax

Practice location:
  • Phone: 407-587-5300
  • Fax:
Mailing address:
  • Phone: 407-587-5300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9290947
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: