Individual ProviderSasha PersaudNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1116 Lucerne Ter, Orlando, FL 32806-1017(407) 316-8550(813) 286-0333PECOS EnrollmentBased on the most recent information from CMS, provider Sasha Persaud is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1164920443Provider TypeIndividualFull NamePersaud, SashaGenderFemaleSole ProprietorNoEnumeration Date2/1/2018Last Updated1/24/2024Contact InformationPractice LocationPractice Address1116 Lucerne Ter, Orlando, FL 32806-1017Phone(407) 316-8550Fax(407) 316-8311Mailing LocationMailing AddressPO Box 748817, Atlanta, GA 30374-8817Phone(813) 286-0333Fax(813) 282-1806Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseARNP9312943FloridaCode363LW0102XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseARNP9312943Florida