Organization
ADVENTIST HEALTH SYSTEM SUNBELT INC
Active
Other names
The Trina Hidalgo Heart Care Center Orlando
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENDERSON PETER (DIRECTOR)
(407) 200-2227
Entity
Organization
Contact information
Practice address
101 SOUTH WESTMORELAND DRIVE, ORLANDO, FL 32805
(407) 836-9262
(407) 836-7163
Mailing address
PO BOX 538700, ORLANDO, FL 32853-8700
(407) 200-2924
(407) 200-4948
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP 973342
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ARNP 1279952
STATE LICENSE
FL
01
—
ARNP 977342
STATE LICENSE
GA
Enumeration date
12/08/2006
Last updated
04/05/2016
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