MEDICARE: SHENEEZA RAMNANAN ARNP

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	ARNP9314730	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437667664
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHENEEZA RAMNANAN ARNP

Provider Business Mailing Address
First Line	:	483 N SEMORAN BLVD STE 102
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32792-3800
Country	:	US
Telephone Number	:	407-645-1847
Fax Number	:	321-274-0246

Provider Business Practice Location Address
First Line	:	14501 GATORLAND DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32837-6916
Country	:	US
Telephone Number	:	407-931-0070
Fax Number	:	407-816-4174

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2018
Last Update Date	:	07/19/2021

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