Individual ProviderJuanita L LandersNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address12280 Lake Underhill Rd, Orlando, FL 32825-5009(866) 389-2727PECOS EnrollmentBased on the most recent information from CMS, provider Juanita L Landers 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 11:51 AM.Profile DetailsProvider ID1447426234Provider TypeIndividualFull NameLanders, Juanita LTitleMrs.CredentialMSN, FNP, CRNPGenderFemaleSole ProprietorNoEnumeration Date5/1/2008Last Updated10/12/2011Contact InformationPractice LocationPractice Address12280 Lake Underhill Rd, Orlando, FL 32825-5009Phone(866) 389-2727Fax(401) 652-9787Mailing LocationMailing Address12280 Lake Underhill Rd, Orlando, FL 32825-5009Phone(866) 389-2727Fax(401) 652-9787Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense9331197FloridaCode363LF0000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense0151480Alabama