MEDICARE: ORLANDO HEALTH SCIENCE CLINIC, LLC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
2	1744R1102X	Research Study Specialist
3	2084N0400X	Neurology Physician
4	363LF0000X	Family Nurse Practitioner
5	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1285514737
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORLANDO HEALTH SCIENCE CLINIC, LLC.

Provider Business Mailing Address
First Line	:	412 CHAYNE PL
Second Line	:
City	:	SAINT CLOUD
State	:	FL
Zip	:	34771-9192
Country	:	US
Telephone Number	:	407-237-7942
Fax Number	:	407-237-7943

Provider Business Practice Location Address
First Line	:	5742 S SEMORAN BLVD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32822-4814
Country	:	US
Telephone Number	:	407-237-7942
Fax Number	:	407-237-7943

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	GIOVANNA F FERNANDEZ
Credential	:
Telephone Number	:	407-237-7942

Provider Enumeration Date	:	09/05/2025
Last Update Date	:	03/02/2026

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