Individual provider Active NPI

Rosemita Rene Gandaho, APRN

  • Family Nurse Practitioner
  • Altamonte Springs, FL
National Provider Identifier
1396542981
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11035478 Issued in FL
Practice address
750 Orienta Ave
Altamonte Springs, FL 32701-5621
Phone
(407) 553-7710
Fax
(866) 445-1446
NPI assigned
Feb 28, 2025
Last updated
Apr 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11035478 FL Primary

Addresses

Primary practice location

750 Orienta Ave
Altamonte Springs, FL 32701-5621

Mailing address

PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 274-8200

Other practice location 1

4100 Waterman Way
Tavares, FL 32778-5270
Phone (352) 343-1117

Other practice location 2

2572 W State Road 426 Ste 3080
Oviedo, FL 32765-8312
Phone (407) 565-2192

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260410002632 FL Practitioner - Nurse Practitioner 9335614999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2890 Ctr Pointe Dr
Fort Myers, FL 33916

PO Box
Atlanta, GA 30368

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11035478FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Apr 1, 2026 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC PastSince Apr 1, 2026 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC Past Accepting new patients

Locations

750 Orienta Ave
Altamonte Springs, FL 32701
Phone (407) 553-7710

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1396542981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222",
            "telephone_number": "239-274-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 ORIENTA AVE",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015621",
            "telephone_number": "407-553-7710",
            "fax_number": "866-445-1446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 Waterman Way",
            "address_purpose": "LOCATION",
            "city": "Tavares",
            "state": "FL",
            "postal_code": "327785270",
            "country_code": "US",
            "telephone_number": "352-343-1117",
            "fax_number": "866-445-2968",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2572 W State Road 426 Ste 3080",
            "address_purpose": "LOCATION",
            "city": "Oviedo",
            "state": "FL",
            "postal_code": "327658312",
            "country_code": "US",
            "telephone_number": "407-565-2192",
            "fax_number": "407-565-2285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANDAHO",
        "first_name": "ROSEMITA",
        "middle_name": "RENE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-28",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11035478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.