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NPI Code Detail

MEDICARE: MRS. JUANITA L LANDERS MSN, FNP, CRNP

MEDICARE: MRS. JUANITA L LANDERS MSN, FNP, CRNP
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
1363LF0000XFamily Nurse Practitioner0151480AL
2363LF0000XFamily Nurse Practitioner9331197FL

General Provider Information

NPI Number : 1447426234
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JUANITA L LANDERS MSN, FNP, CRNP
Provider Business Mailing Address
First Line : 12280 LAKE UNDERHILL RD
Second Line :
City : ORLANDO
State : FL
Zip : 32825-5009
Country : US
Telephone Number : 866-389-2727
Fax Number : 401-652-9787
Provider Business Practice Location Address
First Line : 12280 LAKE UNDERHILL RD
Second Line :
City : ORLANDO
State : FL
Zip : 32825-5009
Country : US
Telephone Number : 866-389-2727
Fax Number : 401-652-9787
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2008
Last Update Date : 10/12/2011

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