Provider Demographics
NPI:1497505275
Name:FOX, MARIA JOANNE (FNP-C)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:JOANNE
Last Name:FOX
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 PARK CENTER DR STE 130
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-7611
Mailing Address - Country:US
Mailing Address - Phone:407-298-6950
Mailing Address - Fax:321-843-6316
Practice Address - Street 1:2101 PARK CENTER DR STE 130
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-7611
Practice Address - Country:US
Practice Address - Phone:407-298-6950
Practice Address - Fax:321-843-6316
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-25
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11030977363LF0000X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL124552300Medicaid