Individual ProviderAlecia BryanNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address10100 Green Branch Ct, Orlando, FL 32825-8565(917) 328-6220PECOS EnrollmentBased on the most recent information from CMS, provider Alecia Bryan 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 yesterday at 11:51 AM.Profile DetailsProvider ID1376016378Provider TypeIndividualFull NameBryan, AleciaGenderFemaleSole ProprietorNoEnumeration Date1/3/2019Last Updated3/15/2022Contact InformationPractice LocationPractice Address10100 Green Branch Ct, Orlando, FL 32825-8565Phone(917) 328-6220FaxUnlisted FaxMailing LocationMailing Address14359 Miramar Pkwy # 139, Miramar, FL 33027-4134PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAPRN11000268FloridaCode363LF0000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseRN2328386Massachusetts