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Ada Maryane Arizmendi

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

258 N Chickasaw Trl, Ste 201, Orlando, FL 32825-3523

PECOS Enrollment

This provider is enrolled in PECOS as ADA ARIZMENDI.

Based on the most recent information from CMS, provider Ada Maryane Arizmendi 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 yesterday at 11:51 AM.

Profile Details

Provider ID
1043789860
Provider Type
Individual
Full Name
Arizmendi, Ada Maryane
Credential
APRN

Gender
Female
Sole Proprietor
Yes
Enumeration Date
11/21/2018
Last Updated
2/26/2024

Contact Information

Practice Location

258 N Chickasaw Trl, Ste 201, Orlando, FL 32825-3523

(407) 646-7015

Unlisted Fax

Mailing Location

258 N Chickasaw Trl, Ste 201, Orlando, FL 32825-3523

(407) 646-7015

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 11000245 Florida

Ada Maryane Arizmendi

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Vale-Saquieres, Elena

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Escorcio Correia, Leandro

Falcon-Salviejo, Michelle Migrino