Provider Demographics
NPI:1992152946
Name:ORINA, FRIDAH K (NP)
Entity type:Individual
Prefix:MS
First Name:FRIDAH
Middle Name:K
Last Name:ORINA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:FRIDAH
Other - Middle Name:
Other - Last Name:ORINA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ARNP
Mailing Address - Street 1:17180 ROYAL PALM BLVD
Mailing Address - Street 2:3
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326
Mailing Address - Country:US
Mailing Address - Phone:954-993-5595
Mailing Address - Fax:
Practice Address - Street 1:17180 ROYAL PALM BLVD
Practice Address - Street 2:3
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326
Practice Address - Country:US
Practice Address - Phone:954-993-5595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-19
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9298071363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily