Active NPI
Gustavo A. Manrique Pico, APRN
- Family Nurse Practitioner
- Kissimmee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11031976
- Practice address
- 2400 N Orange Blossom TRL Ste 210
Kissimmee, FL 34744-2308 - Phone
- (407) 933-2500
- NPI assigned
- Jan 28, 2011
- Last updated
- Sep 9, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11031976 | FL | Primary |
Addresses
Primary practice location
2400 N Orange Blossom TRL Ste 210
Kissimmee, FL 34744-2308
Mailing address
2400 N Orange Blossom TRL Ste 210
Kissimmee, FL 34744-2308
Phone (407) 933-2500
Other practice location 1
160 W Tyler St Unit 355
Tampa, FL 33602-3926
Phone (713) 256-2182
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2400 N Orange Blossom TRL
Kissimmee, FL 34744-2308
2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11031976 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Millennium Physician Group LLC | Current | Accepting new patients |
Locations
2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700
2400 N Orange Blossom Trl
Ste 210
Kissimmee, FL 34744
Phone (407) 933-2500
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
3440 Tamiami Trl
Ste 2A
Port Charlotte, FL 33952
Phone (941) 624-3600
19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535
3440 Tamiami Trl
Unit 2
Pt Charlotte, FL 33952
Phone (941) 624-3600
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
-
dba Rothman Orthopaedics AdventHealth Medical Group at Minneola
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
-
- Family Medicine Physician
- Brooksville, FL
- NPI 1073131702
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Orlando
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
dba AdventHealth Orlando Outreach Laboratory
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757376000000",
"number": "1205132982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 N ORANGE BLOSSOM TRL STE 210",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347442308",
"telephone_number": "407-933-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 N ORANGE BLOSSOM TRL STE 210",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347442308",
"telephone_number": "407-933-2500"
}
],
"practiceLocations": [
{
"address_1": "160 W Tyler St Unit 355",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336023926",
"country_code": "US",
"telephone_number": "713-256-2182",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANRIQUE PICO",
"first_name": "GUSTAVO",
"middle_name": "A.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-28",
"last_updated": "2025-09-09",
"certification_date": "2025-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11031976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.