Individual provider · Type 1 NPI

Michael Jan Protasewicz Jr., APRN

Adult Health Nurse Practitioner · Orlando, FL

NPI number 1750125688 Active

Practice location

12780 Waterford Lakes Pkwy
Orlando, FL 32828-4500

Fax (407) 277-8168

Mailing address

14339 Viburnum Ln
Orlando, FL 32828-7202

Other practice locations

  • 455 9th St, Winter Garden, FL 34787-3685 · (407) 876-6699

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X11026965 (FL)
Adult Health Nurse Practitioner Primary 363LA2200XAPRN11026965 (FL)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1750125688

Michael Jan Protasewicz Jr., APRN's National Provider Identifier is 1750125688, issued on Jun 25, 2024. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Orlando, FL. The record was last updated on Sep 24, 2024.