Provider Demographics
NPI:1831781046
Name:O'TOOLE, AIMEE E (APRN)
Entity type:Individual
Prefix:
First Name:AIMEE
Middle Name:E
Last Name:O'TOOLE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32731 LAKE EUSTIS DR
Mailing Address - Street 2:
Mailing Address - City:TAVARES
Mailing Address - State:FL
Mailing Address - Zip Code:32778-5200
Mailing Address - Country:US
Mailing Address - Phone:352-360-8281
Mailing Address - Fax:
Practice Address - Street 1:1400 N US HIGHWAY 441 STE 531
Practice Address - Street 2:
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32159-8985
Practice Address - Country:US
Practice Address - Phone:352-504-3500
Practice Address - Fax:352-504-3388
Is Sole Proprietor?:No
Enumeration Date:2021-02-09
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11011329363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAPRN11011329OtherSTATE OF FLORIDA DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE
FLF11200634OtherAMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION BOARD