Provider Demographics
NPI:1598341604
Name:RHYNES, JUANTIA Z
Entity type:Individual
Prefix:
First Name:JUANTIA
Middle Name:Z
Last Name:RHYNES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9401 W COLONIAL DR STE 638
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-6812
Mailing Address - Country:US
Mailing Address - Phone:407-722-9474
Mailing Address - Fax:
Practice Address - Street 1:9401 W COLONIAL DR
Practice Address - Street 2:
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-6802
Practice Address - Country:US
Practice Address - Phone:407-722-9474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-19
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9499626163W00000X
FLAPRN11028605363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse