Provider Demographics
NPI:1689118580
Name:ALTARE, MARIA (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:
Last Name:ALTARE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12500 S APOPKA VINELAND RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32836-6723
Mailing Address - Country:US
Mailing Address - Phone:919-414-5510
Mailing Address - Fax:
Practice Address - Street 1:7716 CROSSWATER TRL
Practice Address - Street 2:#7207
Practice Address - City:WINDERMERE
Practice Address - State:FL
Practice Address - Zip Code:34786-9489
Practice Address - Country:US
Practice Address - Phone:919-414-5510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-12
Last Update Date:2017-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9398811363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily