American Sun Primary Care LLC
Nurse Practitioner, Family in Winter Park, FL. Organization (NPI-2).
NPI number1104780709
StatusActive
Last updated in NPPESDec 10, 2025
Details
- NPI
- 1104780709
- Entity type
- Organization (NPI-2)
- Legal business name
- American Sun Primary Care LLC
- Organization subpart
- No
- Enumeration date
- Dec 10, 2025
- Certification date
- Dec 10, 2025
- Last updated
- Dec 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
Practice location
4063 N Goldenrod Rd Ste 3Winter Park, FL 32792-8905
Phone 203-823-5055
Mailing address
14211 Portrush DrOrlando, FL 32828-8243
Phone 203-823-5055 · Fax 203-823-5055
Authorized official
Diana Agosto
Family Nurse Practitioner
2038235055
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