Active NPI 1457755795 Individual Practitioner Female Practitioner

Evdakiya Deiner , APRN

Nurse Practitioner • Sebastian, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Evdakiya Deiner, APRN is a certified Nurse Practitioner practicing in Sebastian, FL. With approximately 16 years of clinical experience since completing medical education in 2010, Evdakiya Deiner delivers high-quality medical care to the local community at 484 US HIGHWAY 1 STE C.

Evdakiya Deiner is affiliated with Leavitt Medical Associates Of Florida Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

484 Us Highway 1 Ste C

Sebastian, FL 329588454

Telephone 7726466100

Fax 7726466110

Associated Practice Facility / Clinic

🏢 Leavitt Medical Associates Of Florida Inc Facility NPI 1083872535

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Sebastian, FL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs -1.6 yrs vs City Avg

City Avg: 17.6 Yrs

State Avg: 10.0 Yrs

Regional Practice Density

6 Specialists

Practicing in Sebastian, FL (8990 Statewide)

Telehealth Adoption Rate

16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Deiner (16 Years) 16 Yrs

Sebastian Specialty Average (17.6 Years) 17.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,705	283	$25.00	$5.55
99213 Established patient office or other outpatient visit, typically 15 minutes	1,114	674	$318.00	$78.04
17000 Destruction of skin growth	525	374	$245.00	$43.71
11102 Tangential biopsy of single skin lesion	462	346	$380.00	$79.82
11103 Biopsy of related skin growth, each additional growth	244	146	$189.00	$42.74
17110 Destruction of up to 14 skin growths	193	166	$420.00	$95.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	113	99	$201.00	$48.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	62	$446.00	$109.97
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	75	59	$651.00	$138.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$393.00	$96.55
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	54	36	$551.00	$114.30
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	54	36	$935.11	$389.25
17004 Destruction of precancer skin growth, 15 or more growths	46	36	$617.00	$143.13
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	24	20	$891.00	$105.07
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	18	14	$1464.00	$335.82
69100 Biopsy of ear	14	12	$355.00	$58.35
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$258.00	$62.15
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	12	12	$1558.00	$364.63
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	11	11	$686.00	$162.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,965	318	$25.00	$5.76
99213 Established patient office or other outpatient visit, typically 15 minutes	1,261	704	$318.00	$79.67
17000 Destruction of skin growth	623	408	$245.00	$43.37
11102 Tangential biopsy of single skin lesion	539	383	$380.00	$82.63
11103 Biopsy of related skin growth, each additional growth	267	145	$189.00	$44.50
17110 Destruction of up to 14 skin growths	263	212	$420.00	$98.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	159	135	$201.00	$49.88
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	93	74	$651.00	$145.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	87	73	$446.00	$112.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	85	85	$393.00	$100.03
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	73	47	$1175.00	$385.00
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	73	47	$551.00	$121.62
17004 Destruction of precancer skin growth, 15 or more growths	40	29	$617.00	$150.21
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	24	21	$891.00	$108.83
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$258.00	$63.87
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	21	12	$4.00	$1.07
69100 Biopsy of ear	18	16	$355.00	$62.13
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	17	14	$686.00	$152.98
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	16	13	$1558.00	$379.10
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	16	14	$634.00	$76.68
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	14	14	$1464.00	$354.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$582.00	$147.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,685	278	$19.00	$5.91
99213 Established patient office or other outpatient visit, typically 15 minutes	1,211	735	$117.00	$81.06
17000 Destruction of skin growth	570	386	$135.00	$46.33
11102 Tangential biopsy of single skin lesion	407	323	$182.00	$83.49
17110 Destruction of up to 14 skin growths	304	242	$191.00	$101.02
11103 Biopsy of related skin growth, each additional growth	152	103	$98.00	$45.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	145	134	$73.00	$50.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	112	112	$183.00	$101.44
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	90	74	$310.00	$143.08
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	65	43	$450.00	$388.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	61	$178.00	$113.49
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	64	43	$230.00	$127.06
17004 Destruction of precancer skin growth, 15 or more growths	36	30	$341.00	$150.70
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	19	12	$3.00	$1.15
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$125.00	$65.45
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	18	17	$319.00	$165.56
11900 Injection into skin growth, 1-7 growths	17	12	$97.00	$44.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$278.00	$150.59
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	12	12	$700.00	$361.86
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	12	12	$282.00	$78.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,608	282	$19.00	$5.66
99213 Established patient office or other outpatient visit, typically 15 minutes	1,100	690	$117.00	$81.41
17000 Destruction of skin growth	552	394	$135.00	$44.53
11102 Tangential biopsy of single skin lesion	397	330	$182.00	$84.32
17110 Destruction of up to 14 skin growths	273	225	$191.00	$100.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	171	171	$183.00	$100.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	140	126	$73.00	$49.80
11103 Biopsy of related skin growth, each additional growth	128	80	$98.00	$47.18
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	82	67	$310.00	$144.53
99202 New patient office or other outpatient visit, typically 20 minutes	45	45	$125.00	$65.38
17004 Destruction of precancer skin growth, 15 or more growths	37	27	$341.00	$147.73
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	35	24	$230.00	$126.79
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	34	23	$450.00	$389.87
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	24	23	$417.00	$116.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	22	$178.00	$115.45
11200 Removal of skin tag, 1-15 skin tags	23	23	$141.00	$61.27
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	18	16	$319.00	$168.98
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	15	15	$768.00	$391.27
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	14	14	$700.00	$365.52
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	12	11	$372.00	$177.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	2,600	11	$3.00	$1.52
17003 Destruction of precancer skin growth, 2-14 growths	1,824	291	$19.00	$5.23
99213 Established patient office or other outpatient visit, typically 15 minutes	942	597	$117.00	$66.91
17000 Destruction of skin growth	575	380	$135.00	$43.58
11102 Tangential biopsy of single skin lesion	407	321	$182.00	$81.10
17110 Destruction of up to 14 skin growths	234	197	$191.00	$98.97
11103 Biopsy of related skin growth, each additional growth	192	113	$98.00	$47.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	146	123	$73.00	$40.62
99202 New patient office or other outpatient visit, typically 20 minutes	89	89	$125.00	$68.09
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	80	63	$310.00	$143.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$183.00	$96.31
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	48	37	$230.00	$116.30
17004 Destruction of precancer skin growth, 15 or more growths	43	37	$341.00	$140.82
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	35	30	$450.00	$388.99
11200 Removal of skin tag, 1-15 skin tags	27	27	$141.00	$50.11
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	27	22	$417.00	$110.87
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	20	18	$768.00	$387.41
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	18	14	$320.00	$146.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$178.00	$96.49
69100 Biopsy of ear	17	16	$183.00	$70.06
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	15	15	$319.00	$162.35
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	12	12	$700.00	$360.56
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	11	11	$372.00	$184.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,007	283	$19.00	$5.12
99213 Established patient office or other outpatient visit, typically 15 minutes	936	598	$117.00	$65.24
17000 Destruction of skin growth	596	392	$135.00	$43.39
11102 Tangential biopsy of single skin lesion	438	358	$182.00	$80.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	275	206	$73.00	$39.63
17110 Destruction of up to 14 skin growths	244	202	$191.00	$96.99
11103 Biopsy of related skin growth, each additional growth	205	125	$98.00	$47.17
99202 New patient office or other outpatient visit, typically 20 minutes	174	174	$125.00	$67.40
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	80	59	$310.00	$141.15
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	76	57	$450.00	$391.87
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	76	58	$230.00	$107.22
99201 New patient office or other outpatient visit, typically 10 minutes	48	48	$72.00	$40.68
17004 Destruction of precancer skin growth, 15 or more growths	30	28	$341.00	$135.76
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	27	25	$417.00	$111.41
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	26	26	$531.00	$272.69
11200 Removal of skin tag, 1-15 skin tags	22	21	$141.00	$51.96
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	15	12	$282.00	$75.43
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	15	13	$320.00	$155.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$178.00	$95.47
11104 Punch biopsy, first skin growth	13	12	$228.00	$109.78
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	12	11	$256.00	$91.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$183.00	$96.05
69100 Biopsy of ear	11	11	$183.00	$83.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,770	254	$19.00	$4.79
11100 Biopsy of single growth of skin and/or tissue	452	345	$177.00	$84.85
99213 Established patient office or other outpatient visit, typically 15 minutes	448	359	$117.00	$64.26
17000 Destruction of skin growth	431	319	$135.00	$39.24
11101 Biopsy of each additional growth of skin and/or tissue	333	167	$99.00	$29.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	207	196	$178.00	$94.70
17110 Destruction of up to 14 skin growths	186	159	$191.00	$97.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	163	129	$73.00	$38.61
17004 Destruction of precancer skin growth, 15 or more growths	84	62	$341.00	$129.43
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	82	53	$310.00	$133.33
99202 New patient office or other outpatient visit, typically 20 minutes	70	70	$125.00	$66.37
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	53	43	$450.00	$398.22
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	51	43	$230.00	$99.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$183.00	$96.19
99201 New patient office or other outpatient visit, typically 10 minutes	37	37	$72.00	$39.50
11200 Removal of skin tag, 1-15 skin tags	21	20	$141.00	$55.24
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	20	17	$282.00	$74.98
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	20	17	$531.00	$270.19
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	19	16	$256.00	$105.47
69100 Biopsy of ear	18	17	$183.00	$55.09
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	17	17	$417.00	$117.91
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	16	16	$319.00	$162.46
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	16	13	$320.00	$145.27
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	14	13	$768.00	$383.37
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	14	13	$160.00	$99.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,591	265	$19.00	$5.10
11100 Biopsy of single growth of skin and/or tissue	634	482	$177.00	$83.67
99213 Established patient office or other outpatient visit, typically 15 minutes	584	435	$117.00	$64.13
11101 Biopsy of each additional growth of skin and/or tissue	543	254	$99.00	$29.52
17000 Destruction of skin growth	444	335	$135.00	$37.91
17110 Destruction of up to 14 skin growths	200	170	$191.00	$95.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	174	148	$73.00	$38.26
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	124	92	$310.00	$136.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	115	115	$183.00	$95.93
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	100	69	$401.00	$352.26
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	100	69	$230.00	$117.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	77	$178.00	$94.18
99202 New patient office or other outpatient visit, typically 20 minutes	73	73	$125.00	$65.86
17004 Destruction of precancer skin growth, 15 or more growths	69	54	$341.00	$133.84
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	36	33	$417.00	$110.82
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	27	25	$531.00	$269.98
99201 New patient office or other outpatient visit, typically 10 minutes	26	26	$72.00	$38.87
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	25	24	$282.00	$74.14
11200 Removal of skin tag, 1-15 skin tags	24	22	$141.00	$47.61
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	23	22	$319.00	$158.86
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	22	17	$160.00	$91.96
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	21	21	$700.00	$353.62
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	21	20	$320.00	$148.00
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	20	19	$256.00	$92.37
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	17	17	$768.00	$381.74
69100 Biopsy of ear	17	16	$183.00	$52.46

Medical Specialties & State Licenses

CMS Verified: 2025-06-24

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License FL ARNP 9281535

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License FL 9281535

Hospital & Practice Group Affiliations

Leavitt Medical Associates Of Florida Inc

1955 22nd Ave, Vero Beach, FL 329603083

Phone: 7722990085

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Larry Erickson , MD

Dermatology

NPI 1265487961

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

📍

Updated Practice Location June 24, 2025

Registered at 484 US HIGHWAY 1 STE C, SEBASTIAN, FL 329588454 (Tel: 7726466100)

📍

Updated Business Mailing Address June 24, 2025

Registered at 151 SOUTHHALL LN STE 300, MAITLAND, FL 327517172 (Tel: 8664003376)

👤

Provider Name / Credentials Updated June 24, 2025

Recorded as EVDAKIYA DEINER, APRN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2025

Nurse Practitioner (License #9281535 in FL)

✅

NPI Profile Active February 02, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location February 02, 2015

Registered at 1955 22ND AVE, VERO BEACH, FL 329603083 (Tel: 7725323156)

📍

Updated Business Mailing Address February 02, 2015

Registered at 501 NW PINESAP PL, JENSEN BEACH, FL 349573522

👤

Provider Name / Credentials Updated February 02, 2015

Recorded as EVDAKIYA DEINER

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2015

Nurse Practitioner (License #ARNP 9281535 in FL)

🟢

Initial NPI Registration & Enumeration October 15, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457755795

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 15, 2014

Last Update: June 24, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

151 Southhall Ln Ste 300

Maitland, FL 327517172

Phone: 8664003376

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.