Active NPI
Fany Aquino
- Physician Assistant
- Kissimmee, FL
National Provider Identifier
1265533780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9101128
- Practice address
- 1050 W Carroll St
Kissimmee, FL 34741-1268 - Phone
- (407) 518-0078
- Fax
- (407) 518-0094
- NPI assigned
- Sep 26, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9101128 | FL | Primary |
Addresses
Primary practice location
1050 W Carroll St
Kissimmee, FL 34741-1268
Mailing address
1050 W Carroll St
Kissimmee, FL 34741-1268
Phone (407) 518-0078
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9101128 | FL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426464000000",
"number": "1265533780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 W CARROLL ST",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347411268",
"telephone_number": "407-518-0078",
"fax_number": "407-518-0098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 W CARROLL ST",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347411268",
"telephone_number": "407-518-0078",
"fax_number": "407-518-0094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AQUINO",
"first_name": "FANY",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2015-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "9101128",
"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 Mar 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.