Provider Demographics
NPI:1730581331
Name:LORENZO, YOLANDA E (DNP, ARNP, AGACNP-BC)
Entity type:Individual
Prefix:
First Name:YOLANDA
Middle Name:E
Last Name:LORENZO
Suffix:
Gender:F
Credentials:DNP, ARNP, AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14690 SPRING HILL DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34609-8102
Mailing Address - Country:US
Mailing Address - Phone:352-799-0046
Mailing Address - Fax:352-799-0042
Practice Address - Street 1:12150 SEMINOLE BLVD
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33778-2833
Practice Address - Country:US
Practice Address - Phone:727-216-6188
Practice Address - Fax:727-216-6241
Is Sole Proprietor?:No
Enumeration Date:2014-09-25
Last Update Date:2015-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9292257363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL013607300Medicaid
FL013607300Medicaid
FLHY914YMedicare PIN
FLHY914WMedicare PIN