MEDICARE: MR. ISAAC VILA HERNANDEZ FNP-C

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	11025134	FL

General Provider Information

NPI Number	:	1518669951
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ISAAC VILA HERNANDEZ FNP-C

Provider Business Mailing Address
First Line	:	2 N SEMORAN BLVD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32807-3322
Country	:	US
Telephone Number	:	689-240-4646
Fax Number	:	866-321-8536

Provider Business Practice Location Address
First Line	:	2 N SEMORAN BLVD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32807-3322
Country	:	US
Telephone Number	:	689-240-4646
Fax Number	:	866-321-8536

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

Provider Enumeration Date	:	03/20/2023
Last Update Date	:	01/22/2026

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Directions to “ MR. ISAAC VILA HERNANDEZ FNP-C” Practice Location

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