Provider Demographics
NPI:1992197545
Name:TURNER, ISABELLA (PA)
Entity Type:Individual
Prefix:
First Name:ISABELLA
Middle Name:
Last Name:TURNER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:ISABELLA
Other - Middle Name:
Other - Last Name:BELKIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:151 SOUTHHALL LN
Mailing Address - Street 2:STE 300
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-7176
Mailing Address - Country:US
Mailing Address - Phone:407-875-2080
Mailing Address - Fax:407-650-3455
Practice Address - Street 1:1720 DUNLAWTON AVE
Practice Address - Street 2:STE 2
Practice Address - City:PORT ORANGE
Practice Address - State:FL
Practice Address - Zip Code:32127-2915
Practice Address - Country:US
Practice Address - Phone:386-322-8310
Practice Address - Fax:386-322-8370
Is Sole Proprietor?:No
Enumeration Date:2015-02-19
Last Update Date:2017-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9108281363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLIC458YMedicare PIN