Provider Demographics
NPI:1477348068
Name:CETO, PAUL ARTEMIS (MBA MSN APRN)
Entity type:Individual
Prefix:MR
First Name:PAUL
Middle Name:ARTEMIS
Last Name:CETO
Suffix:
Gender:M
Credentials:MBA MSN APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5005 LAGUNA BAY CIR APT 20
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34746-5403
Mailing Address - Country:US
Mailing Address - Phone:407-818-2717
Mailing Address - Fax:
Practice Address - Street 1:5005 LAGUNA BAY CIR APT 20
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34746-5403
Practice Address - Country:US
Practice Address - Phone:407-818-2717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-14
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11038868363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily