Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | APRN9203928 | FL |
N | 363LA2100X | Nurse Practitioner - Acute Care | 9203928 | FL |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 9203928 | FL |
NPI | 1235464595 |
---|---|
Provider Name | Orlando Betancourt |
First Address | Atlanta, GA 30374-3144 |
Second Address | Miami, FL 33176-2118 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2009 |
Last Update Date | 02/02/2022 |