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REENA VIJAYAMMA RAVEENDRAN
NPI 1679469936
Nurse Practitioner - Gerontology in Orlando, FL

Active since June 14, 2025
3354 PUXTON DR, ORLANDO, FL 32824(407) 577-7314(407) 577-7314 Get Directions Write a Review

NPPES record last updated: June 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Reena Vijayamma Raveendran NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REENA VIJAYAMMA RAVEENDRAN (NPI 1679469936) is an individual gerontology provider in Orlando, Florida, licensed in Florida (11040001) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1679469936
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameREENA VIJAYAMMA RAVEENDRAN
Location Address3354 PUXTON DROrlando, FL 32824
Mailing Address3354 Puxton DrOrlando, FL 32824 · (407) 577-7314 · Fax (407) 577-7314
Phone(407) 577-7314
Fax(407) 577-7314
Sole ProprietorNo
Enumeration DateJune 14, 2025
NPPES CertifiedJune 14, 2025
✔ NPI 1679469936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in FL · 11040001
3354 PUXTON DR, Orlando, FL 32824
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Reena Vijayamma Raveendran's NPI number?

The NPI number for Reena Vijayamma Raveendran is 1679469936. It was assigned to this individual provider in the NPPES registry on June 14, 2025.

Where is Reena Vijayamma Raveendran located?

Reena Vijayamma Raveendran practices at 3354 Puxton Dr, Orlando, FL 32824. The listed phone number is (407) 577-7314.

What is Reena Vijayamma Raveendran's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Reena Vijayamma Raveendran was last updated on June 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.