Individual ProviderShirin MobeenNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address7727 Lake Underhill Rd, Orlando, FL 32822-8224(407) 303-8110(407) 335-3549PECOS EnrollmentBased on the most recent information from CMS, provider Shirin Mobeen 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 3 days ago.Profile DetailsProvider ID1265069652Provider TypeIndividualFull NameMobeen, ShirinGenderFemaleSole ProprietorNoEnumeration Date3/25/2020Last Updated11/5/2020Contact InformationPractice LocationPractice Address7727 Lake Underhill Rd, Orlando, FL 32822-8224Phone(407) 303-8110FaxUnlisted FaxMailing LocationMailing Address11954 Narcoossee Rd Suite 2, #167, Orlando, FL 32832Phone(407) 335-3549FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAPRN11006716Florida