Provider Demographics
NPI:1457018145
Name:BETANCOURT SANZ, ORLANDO (APRN, FNP-BC)
Entity type:Individual
Prefix:
First Name:ORLANDO
Middle Name:
Last Name:BETANCOURT SANZ
Suffix:
Gender:M
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4742 BLOSSOM DR
Mailing Address - Street 2:
Mailing Address - City:HOLIDAY
Mailing Address - State:FL
Mailing Address - Zip Code:34690-3901
Mailing Address - Country:US
Mailing Address - Phone:727-967-4898
Mailing Address - Fax:
Practice Address - Street 1:9309 N FLORIDA AVE STE 111
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-7237
Practice Address - Country:US
Practice Address - Phone:813-444-9823
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-17
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11016526363L00000X, 363LF0000X, 363LP2300X
FLF11210321363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty