Individual ProviderMichalona ScippioNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address525 Technology Park, Lake Mary, FL 32746-7107(813) 858-7097PECOS EnrollmentBased on the most recent information from CMS, provider Michalona Scippio 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 11:21 AM.Profile DetailsProvider ID1720850712Provider TypeIndividualFull NameScippio, MichalonaGenderFemaleSole ProprietorYesEnumeration Date10/24/2023Last Updated10/17/2024Contact InformationPractice LocationPractice Address525 Technology Park, Lake Mary, FL 32746-7107Phone(813) 858-7097Fax(407) 708-3941Mailing LocationMailing AddressPO Box 2666, Lake City, FL 32056-2666PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LP0808XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAPRN11029008Florida