OrganizationMedical Allied Nursing Academy, Inc.(Medical Allied Nursing)Skilled Nursing FacilityNursing & Custodial Care FacilitiesPractice Address750 Plaza Orange Blossom Trail, Suite 264, Orlando, FL 32805(407) 440-8696PECOS EnrollmentBased on the most recent information from CMS, provider Medical Allied Nursing Academy, Inc. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 10:41 AM.Profile DetailsProvider ID1366983140Provider TypeOrganizationFull NameMedical Allied Nursing Academy, Inc.Other NameMedical Allied NursingSubpartNoEnumeration Date3/14/2017Last Updated3/14/2017Contact InformationPractice LocationPractice Address750 Plaza Orange Blossom Trail, Suite 264, Orlando, FL 32805Phone(407) 440-8696Fax(407) 440-8696Mailing LocationMailing Address928 Spring Lake Sq, Winter Haven, FL 33881-1352Phone(407) 440-8696Fax(407) 440-8696Authorized OfficialNameBazile, Kathiana Ann (President /Administrator)Phone(407) 440-8696Provider TaxonomiesCodeDescriptionLicenseCode314000000XPrimaryDescriptionSkilled Nursing FacilityNursing & Custodial Care FacilitiesLicense31400000XFloridaCode311Z00000XDescriptionCustodial Care FacilityNursing & Custodial Care FacilitiesLicenseNR 12345Code314000000XDescriptionSkilled Nursing FacilityNursing & Custodial Care FacilitiesLicenseUnlisted IssuerFloridaCode315P00000XDescriptionIntermediate Care Facility, Mentally RetardedNursing & Custodial Care FacilitiesLicenseP13000025575Florida