Provider Demographics
NPI:1518626597
Name:ALEMAN, GINA
Entity Type:Individual
Prefix:
First Name:GINA
Middle Name:
Last Name:ALEMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 FLORIDA CENTRAL PKWY UNIT 520423
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32752-7518
Mailing Address - Country:US
Mailing Address - Phone:407-706-5575
Mailing Address - Fax:
Practice Address - Street 1:1149 AUTUMN BROOK CIR
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32750-3965
Practice Address - Country:US
Practice Address - Phone:305-331-9735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-16
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No174N00000XOther Service ProvidersLactation Consultant, Non-RN