Leahra Lynne Casing Antonio, APRN, CPNP-AC
Nurse Practitioner, Pediatrics in Orlando, FL. Individual provider (NPI-1).
NPI number1720818461
StatusActive
Last updated in NPPESAug 6, 2024
Details
- NPI
- 1720818461
- Entity type
- Individual (NPI-1)
- Name
- Leahra Lynne Casing Antonio
- Credential
- APRN, CPNP-AC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 6, 2024
- Certification date
- Aug 6, 2024
- Last updated
- Aug 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | APRN11034256 | FL | Yes |
Practice location
6535 Nemours ParkwayOrlando, FL 32827-7448
Phone 407-650-7000 · Fax 407-567-5924
Mailing address
10140 Centurion Pkwy NJacksonville, FL 32256-0532
Phone 904-697-4100
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