Individual
AIGEREEM OSTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-5600
Mailing address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
9604061
FL
363L00000X
Nurse Practitioner
Primary
11045057
FL
Other
Enumeration date
12/15/2025
Last updated
01/23/2026
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