Individual
AISHA MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1001 E OSCEOLA PKWY STE 3200, KISSIMMEE, FL 34744-1616
(321) 841-6444
(407) 650-1307
Mailing address
1001 E OSCEOLA PKWY STE 3200, KISSIMMEE, FL 34744-1616
(321) 841-6444
(407) 650-1307
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11002154
FL
363LF0000X
Family Nurse Practitioner
F12180320
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102948100
—
FL
Enumeration date
12/25/2018
Last updated
08/21/2019
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