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Ivan Vivanco Echevarria, APRN

Nurse Practitioner, Family in Orlando, FL. Individual provider (NPI-1).

NPI number1114418878
StatusActive
Last updated in NPPESApr 9, 2025

Details

NPI
1114418878
Entity type
Individual (NPI-1)
Name
Mr. Ivan Vivanco Echevarria
Credential
APRN
Sex
Male
Sole proprietor
Yes
Enumeration date
May 29, 2018
Certification date
Apr 9, 2025
Last updated
Apr 9, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family9455497FLYes
363LP0200X Nurse Practitioner, PediatricsAPRN9455497FL

Practice location

12612 Challenger Pkwy Ste 365
Orlando, FL 32826-2784

Phone 407-306-8441

Mailing address

12612 Challenger Pkwy Ste 365
Orlando, FL 32826-2784

Phone 407-306-8441

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