Provider Demographics
NPI:1477869451
Name:MALDONADO, ANNAMARIA (ARNP)
Entity type:Individual
Prefix:
First Name:ANNAMARIA
Middle Name:
Last Name:MALDONADO
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 1:1920 DON WICKHAM DR STE 127
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-1978
Mailing Address - Country:US
Mailing Address - Phone:407-648-5384
Mailing Address - Fax:321-843-6975
Practice Address - Street 1:1920 DON WICKHAM DR STE 127
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-1978
Practice Address - Country:US
Practice Address - Phone:407-648-5384
Practice Address - Fax:321-843-6975
Is Sole Proprietor?:No
Enumeration Date:2010-08-27
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9234213363LA2200X
FLARNP9234213363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily