Individual
ANN MARIE RAIKES HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3185 W VINE ST, KISSIMMEE, FL 34741-3738
(407) 569-1260
(833) 963-0109
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
(844) 630-0700
(877) 374-1924
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP3179612
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP3179612
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006434700
—
FL
01
—
YOE13
BCBS
FL
Enumeration date
08/14/2012
Last updated
02/20/2026
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