Individual ProviderLeandro Escorcio CorreiaNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address258 S Chickasaw Trl Ste 203, Orlando, FL 32825-3558(407) 303-6588PECOS EnrollmentBased on the most recent information from CMS, provider Leandro Escorcio Correia 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 yesterday at 11:51 AM.Profile DetailsProvider ID1487370011Provider TypeIndividualFull NameEscorcio Correia, LeandroCredentialAPRNGenderMaleSole ProprietorYesEnumeration Date10/14/2022Last Updated3/13/2023Contact InformationPractice LocationPractice Address258 S Chickasaw Trl Ste 203, Orlando, FL 32825-3558Phone(407) 303-6588FaxUnlisted FaxMailing LocationMailing Address258 S Chickasaw Trl, Orlando, FL 32825-3501Phone(407) 303-6588FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAPRN11022458Florida