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Individual

DIANE ORLOV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
832 W CENTRAL BLVD, ORLANDO, FL 32805-1809
(407) 723-4239
(407) 845-6119
Mailing address
6101 LAKE ELLENOR DR, ORLANDO, FL 32809-4616
(407) 723-5029
(407) 858-5523

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN-241877
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9490972
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104216600
FL
05
2034444
OH
01
JSJEO
FL BLUE
FL
Enumeration date
11/28/2005
Last updated
07/16/2021
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