NPI 1811519994 · live from the CMS NPI Registry
5 Star Healthcare Consultants, INC.
Nurse Practitioner, Family in Orlando, FL. National Provider Identifier 1811519994, active.
NPI record
| NPI | 1811519994 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 5401 S Kirkman Rd, Orlando, FL 32819 |
| Practice phone | 800-721-8839 |
| Mailing address | 3632 Arch St, Orlando, FL 32808 |
| Enumerated | May 12, 2020 |
| Last updated | July 20, 2023 |
| Authorized official | Tequila Golden, Family Nurse Practictioner |
| Other names | 5 Star Healthcare Consultants, INC. |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — |
| Nurse Practitioner, Family primary | 363LF0000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.