Provider Demographics
NPI:1356634729
Name:MIKER, LUANA B (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:LUANA
Middle Name:B
Last Name:MIKER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MISS
Other - First Name:LUANA
Other - Middle Name:B
Other - Last Name:FERNANDEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:9457 COBALT PARK DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32832-5869
Mailing Address - Country:US
Mailing Address - Phone:352-455-8217
Mailing Address - Fax:
Practice Address - Street 1:9457 COBALT PARK DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32832-5869
Practice Address - Country:US
Practice Address - Phone:352-455-8217
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-18
Last Update Date:2022-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9218090363L00000X, 363LA2200X
FLAPRN921890363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health