MEDICARE: MS. TAMARAH ENRIQUEZ MSN, ARNP, FNP

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	9392990	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	:	1831675818
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TAMARAH ENRIQUEZ MSN, ARNP, FNP

Provider Business Mailing Address
First Line	:	1035 N ORLANDO AVE STE 201
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789-2213
Country	:	US
Telephone Number	:	407-678-3255
Fax Number	:	407-599-5966

Provider Business Practice Location Address
First Line	:	1035 N ORLANDO AVE STE 201
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789-2213
Country	:	US
Telephone Number	:	407-678-3255
Fax Number	:	407-599-5966

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

Provider Enumeration Date	:	07/13/2018
Last Update Date	:	09/22/2025

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