MEDICARE: GENTLE PATHWAYS PRIMARY CARE

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	363LP2300X	Primary Care Nurse Practitioner

General Provider Information

NPI Number	:	1750241790
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENTLE PATHWAYS PRIMARY CARE

Provider Business Mailing Address
First Line	:	18731 SABAL ST
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32833-5268
Country	:	US
Telephone Number	:	321-230-1906
Fax Number	:

Provider Business Practice Location Address
First Line	:	18731 SABAL ST
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32833-5268
Country	:	US
Telephone Number	:	321-230-1906
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	VERA LEE AHMAD
Credential	:	APRN
Telephone Number	:	321-230-1906

Provider Enumeration Date	:	11/13/2025
Last Update Date	:	05/11/2026

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Directions to “GENTLE PATHWAYS PRIMARY CARE ” Practice Location

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