Individual ProviderDeandra DarmalingumNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address11616 Lake Underhill Rd, Orlando, FL 32825-4463(407) 482-7788(718) 598-0343PECOS EnrollmentBased on the most recent information from CMS, provider Deandra Darmalingum 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 ID1457015497Provider TypeIndividualFull NameDarmalingum, DeandraCredentialAPRNGenderFemaleSole ProprietorYesEnumeration Date10/26/2021Last Updated11/5/2021Contact InformationPractice LocationPractice Address11616 Lake Underhill Rd, Orlando, FL 32825-4463Phone(407) 482-7788FaxUnlisted FaxMailing LocationMailing Address12869 Daughtery Dr, Winter Garden, FL 34787-6515Phone(718) 598-0343FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAPRN11015918Florida