JACLYN MICHELLE PRALAT (NPI# 1295011328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295011328 |
Entity Type | Individual |
Full Name | JACLYN MICHELLE PRALAT |
Credential | ARNP |
Practice Address |
14015 Egret Tower Dr Orlando FL 32837-6197 |
Practice Telephone | 4074477100 |
Practice Fax Number | 4074476100 |
Mailing Telephone | 4074477100 |
Mailing Fax Number | 4074476100 |
Enumeration Date | 2011-11-03 |
Last Update Date | 2019-11-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
ARNP9419919 | FL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 016270100 | 05 |
Street Address |
14015 EGRET TOWER DR |
City | ORLANDO |
State | FL |
Zip Code | 32837-6197 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376504324 | Nazim Merchant | Pediatrics | 14015 Egret Tower Dr, Orlando, FL 32837-6197 | 2006-03-30 |
1356956064 | Soraya Roa | Nurse Practitioner | 14015 Egret Tower Dr, Orlando, FL 32837-6197 | 2020-09-10 |
1881024313 | Suneeta Brito | Pediatrics | 14015 Egret Tower Dr, Orlando, FL 32837-6197 | 2013-11-19 |
1093033664 | Tiffany L Blockson | Pediatrics | 14015 Egret Tower Dr, Orlando, FL 32837-6197 | 2010-05-06 |
1447585005 | Toshih Nargund | Speech-Language Pathologist | 14015 Egret Tower Dr, Orlando, FL 32837-6197 | 2009-10-14 |
1366406183 | Nazim Merchant Md, Pa | Pediatrics | 14015 Egret Tower Dr, Orlando, FL 32837-6197 | 2006-04-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194214684 | Advance Obgyn of Central Florida | Obstetrics & Gynecology | 4170 Town Ctr Blvd Ste 104, Orlando, FL 32837 | 2018-05-09 |
1881124543 | Shivonne Champatsingh | Respiratory Therapist, Registered | 2730 Rolling Broak Drive, Orlando, FL 32837 | 2017-06-15 |
1881133858 | Peter Connole | Specialist/Technologist | 11066 Crystal Glen Blvd, Orlando, FL 32837 | 2017-02-23 |
1154779023 | Lemille Ruiz | Case Manager/Care Coordinator | 12925 Lslamorada Dr, Orlando, FL 32837 | 2016-06-01 |
1952776650 | Maryolys Rojas | Case Management | 2875 Woodruff Dr, Orlando, FL 32837 | 2015-12-07 |
1407230998 | Isis Cancel | Case Manager/Care Coordinator | 1136 Courtney Chase Circle, Apt 711, Orlando, FL 32837 | 2015-07-14 |
1306242771 | Robin Mcdonough | Counselor | 11020 Regency Commons Ct, Orlando, FL 32837 | 2014-11-13 |
1952720484 | Monisha Louis | Physical Therapist | 4445 Gywndale Ct., Orlando, FL 32837 | 2014-04-11 |
1194141028 | Florida Em-i Medical Services, Pa | Physician Assistant | 12100 South John Young Parkway, Orlando, FL 32837 | 2014-03-17 |
1366871394 | Isse Song Pa | Dentist | 12554 S John Young Parkway, 104, Orlando Florida, FL 32837 | 2013-11-12 |
Find all providers in zip 32837 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851950802 | Lindsay Elizabeth Gomes | Nurse Practitioner | 8410 Shady Glen Dr, Orlando, FL 32819-4179 | 2019-06-12 |
1003475211 | Allison Leigh Penny | Nurse Practitioner | 615 E Princeton St Ste 510, Orlando, FL 32803-1424 | 2019-06-11 |
1447731708 | Shanna Ann Maiorana | Nurse Practitioner | 4445 S Semoran Blvd Ste A, Orlando, FL 32822-2472 | 2018-08-24 |
1467816728 | Kara B Kweder | Nurse Practitioner | 7051 Dr Phillips Blvd Ste 1, Orlando, FL 32819-5140 | 2016-04-12 |
1669841698 | Rebecca L Archer | Nurse Practitioner | 2902 N Orange Ave Ste D, Orlando, FL 32804-4655 | 2015-09-21 |
1245568054 | Jeane Cole | Nurse Practitioner | 910 Marabon Ave, Orlando, FL 32806-1806 | 2009-12-07 |
1578795977 | Amber Rose Eastwood | Nurse Practitioner | 2101 Park Center Dr Ste 100, Orlando, FL 32835-7609 | 2009-08-18 |
1720214240 | Mindi Ashley Anderson | Nurse Practitioner | 12201 Research Pkwy Ste 300, Orlando, FL 32826-3265 | 2009-06-10 |
1295970408 | Mariah P Morris | Nurse Practitioner | 6000 Turkey Lake Rd Ste 205, Orlando, FL 32819-4206 | 2008-12-03 |
1679745517 | Kimberlee Artz | Nurse Practitioner | 92 W Miller St Fl 2, Orlando, FL 32806-2032 | 2008-04-01 |
Find all providers in ORLANDO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.