Individual ProviderMichaelle BenyehudaNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1222 S Orange Ave, Orlando, FL 32806-1215(321) 841-6444(321) 842-1270PECOS EnrollmentBased on the most recent information from CMS, provider Michaelle Benyehuda 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 ID1417581935Provider TypeIndividualFull NameBenyehuda, MichaelleCredentialDNP, APRN, FNP-BCGenderFemaleSole ProprietorNoEnumeration Date2/24/2020Last Updated12/27/2023Contact InformationPractice LocationPractice Address1222 S Orange Ave, Orlando, FL 32806-1215Phone(321) 841-6444Fax(407) 650-1307Mailing LocationMailing Address1222 S Orange Ave Fl 2, Orlando, FL 32806-1215Phone(321) 842-1270FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense11006011Florida