Individual
LISA ANNE FREEBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, FNP-C
Contact information
Practice address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(321) 841-6444
Mailing address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(321) 841-6444
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9252286
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022477000
—
FL
Enumeration date
09/28/2017
Last updated
07/21/2022
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