Individual ProviderSausan HammadNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address690 S Goldenrod Rd, Orlando, FL 32822-8108(407) 792-1144PECOS EnrollmentBased on the most recent information from CMS, provider Sausan Hammad 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 3 days ago.Profile DetailsProvider ID1497435812Provider TypeIndividualFull NameHammad, SausanGenderFemaleSole ProprietorYesEnumeration Date7/20/2023Last Updated2/25/2026Contact InformationPractice LocationPractice Address690 S Goldenrod Rd, Orlando, FL 32822-8108Phone(407) 792-1144Fax(407) 232-9807Mailing LocationMailing Address690 S Goldenrod Rd, Orlando, FL 32822-8108Phone(407) 792-1144Fax(407) 232-9807Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense11027592FloridaCode363LF0000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense5023901North CarolinaCode363LF0000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseC-APN.0105846-C-NPColorado