Organization · Type 2 NPI

Pelham Medical Practice & Aesthetic Lounge, Llc.

Family Nurse Practitioner · Orlando, FL

NPI number 1639876733 Active

Practice location

5979 Vineland Rd Ste 207
Orlando, FL 32819-7855

Fax (407) 440-8269

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	None listed

Family Nurse Practitioner: Definition to come...

3 other providers at this address

Southwest Anesthesia and Pain Management PAPain Clinic/Center Orlando, FL NPI 1609043272
Claire Marie Cyprien, MDPain Medicine (Anesthesiology) Physician Orlando, FL NPI 1225089444
Janadra Dean Greenidge, APRNPrimary Care Nurse Practitioner Orlando, FL NPI 1881233526

Other family nurse practitioner providers in Orlando

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NPI record

NPI: 1639876733
Entity type: Organization (Type 2)
Issued: Feb 9, 2023
Last updated: Jul 28, 2026
Status: Active

Other names

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Pelham Medical Consulting & Aesthetic Lounge, Llc. · former legal business name
Pelham Medical Consulting & Aesthetic Lounge, Llc. · former legal business name

Authorized official

Janadra Dean Greenidge, NP
Owner
(407) 893-1181

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About NPI 1639876733

Pelham Medical Practice & Aesthetic Lounge, Llc.'s National Provider Identifier is 1639876733, issued on Feb 9, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Orlando, FL. The record was last updated on Jul 28, 2026.