Individual
JENSINE LARGADO CAUDILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
10000 W COLONIAL DR STE 289, OCOEE, FL 34761-3432
(321) 842-4765
(321) 842-4767
Mailing address
10000 W COLONIAL DR STE 289, OCOEE, FL 34761-3432
(321) 842-4765
(321) 842-4767
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11014797
FL
363LF0000X
Family Nurse Practitioner
11014797
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112617800
—
FL
Enumeration date
10/22/2021
Last updated
11/11/2024
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