Individual ProviderNerly LubinNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address525 Technology Park Ste 109, Lake Mary, FL 32746-7107(407) 647-2346PECOS EnrollmentBased on the most recent information from CMS, provider Nerly Lubin 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 yesterday at 11:21 AM.Profile DetailsProvider ID1336963297Provider TypeIndividualFull NameLubin, NerlyGenderFemaleSole ProprietorYesEnumeration Date11/8/2024Last Updated2/19/2025Contact InformationPractice LocationPractice Address525 Technology Park Ste 109, Lake Mary, FL 32746-7107Phone(407) 647-2346FaxUnlisted FaxMailing LocationMailing Address9097 SW 34th Ct, Miramar, FL 33025-7972Phone(407) 647-2346FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LP0808XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense11036428Florida