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Fatima Koumtani

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

5449 S Semoran Blvd, Orlando, FL 32822-1722

PECOS Enrollment

Based on the most recent information from CMS, provider Fatima Koumtani is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1588127922
Provider Type
Individual
Full Name
Koumtani, Fatima
Credential
FNP

Gender
Female
Sole Proprietor
Yes
Enumeration Date
4/11/2019
Last Updated
7/18/2024

Contact Information

Practice Location

5449 S Semoran Blvd, Orlando, FL 32822-1722

(407) 322-8645

Unlisted Fax

Mailing Location

4930 E Lake Mary Blvd, Sanford, FL 32771-5003

(407) 322-8645

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 11001126 Florida

Fatima Koumtani

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Sayeed, Haris Mohammed

Cereijo Barreda, Ernesto Jesus

Perez, Yvette

Aponte, Luis Angel

Newton, Lisa

Nelson Soto, Anthony

Ferreira Morejon, Alexandra Michelle

Kindig, Erica

Cardona, Ashley Laren

Thomas, Dana Maria Lee