Look up the most recent NPI and PECOS records

Juliana Isaac

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

12280 Lake Underhill Rd, Orlando, FL 32825-5009

PECOS Enrollment

Based on the most recent information from CMS, provider Juliana Isaac is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 34 days ago.

Profile Details

Provider ID
1508361486
Provider Type
Individual
Full Name
Isaac, Juliana
Title
Mrs.
Credential
APRN

Gender
Female
Sole Proprietor
No
Enumeration Date
3/24/2018
Last Updated
10/23/2025

Contact Information

Practice Location

12280 Lake Underhill Rd, Orlando, FL 32825-5009

(866) 389-2728

Unlisted Fax

Mailing Location

12280 Lake Underhill Rd, Orlando, FL 32825-5009

(866) 389-2727

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APRN9361938 Florida
Code 163W00000X	Description Registered Nurse Nursing Service Providers	License RN9361938 Florida
Code 207Q00000X	Description Family Medicine Allopathic & Osteopathic Physicians	License RN500020777 District of Columbia
Code 207Q00000X	Description Family Medicine Allopathic & Osteopathic Physicians	License 4027052 Kansas
Code 207Q00000X	Description Family Medicine Allopathic & Osteopathic Physicians	License AC006959 Maine
Code 207Q00000X	Description Family Medicine Allopathic & Osteopathic Physicians	License 112547-23 New Hampshire
Code 207Q00000X	Description Family Medicine Allopathic & Osteopathic Physicians	License CNP241496 Maine
Code 207Q00000X	Description Family Medicine Allopathic & Osteopathic Physicians	License 101.0137346 Vermont
Code 207Q00000X	Description Family Medicine Allopathic & Osteopathic Physicians	License NP500020777 District of Columbia
Code 207Q00000X	Description Family Medicine Allopathic & Osteopathic Physicians	License LG-0012930 Delaware
Code 207Q00000X	Description Family Medicine Allopathic & Osteopathic Physicians	License RN10015105 Massachusetts
Code 207Q00000X	Description Family Medicine Allopathic & Osteopathic Physicians	License APRN04304 Rhode Island

Provider Identifiers

ID	Description	Issuer
ID APRN9361938	Description Other	Issuer FLORIDA DEPARTMENT OF HEALTH Florida

Juliana Isaac

PECOS Enrollment

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