Individual ProviderLourdie ChachouteNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address52 W Underwood St, Orlando, FL 32806-1110(407) 841-5111(407) 919-5131PECOS EnrollmentBased on the most recent information from CMS, provider Lourdie Chachoute 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 ID1558940981Provider TypeIndividualFull NameChachoute, LourdieCredentialARNPGenderFemaleSole ProprietorYesEnumeration Date4/4/2021Last Updated4/15/2025Contact InformationPractice LocationPractice Address52 W Underwood St, Orlando, FL 32806-1110Phone(407) 841-5111FaxUnlisted FaxMailing LocationMailing Address16838 Cornerwood Dr, Orlando, FL 32820-1900Phone(407) 919-5131FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAPRN11011950Florida