MEDICARE: NICOLE ALONZO 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	9512264	FL

General Provider Information

NPI Number	:	1982559910
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE ALONZO FNP-C

Provider Business Mailing Address
First Line	:	11450 RHYME AVE
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32832-6673
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1090 N ORLANDO AVE STE 102
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789-2264
Country	:	US
Telephone Number	:	321-966-5710
Fax Number	:

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

Provider Enumeration Date	:	03/04/2026
Last Update Date	:	03/04/2026

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