Individual ProviderIvana O'LearyNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address52 W Underwood St Ste 352, Orlando, FL 32806-1110(904) 372-3943PECOS EnrollmentBased on the most recent information from CMS, provider Ivana O'Leary does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1801421771Provider TypeIndividualFull NameO'Leary, IvanaCredentialAPRNGenderFemaleSole ProprietorNoEnumeration Date3/11/2020Last Updated3/11/2020Contact InformationPractice LocationPractice Address52 W Underwood St Ste 352, Orlando, FL 32806-1110Phone(904) 372-3943FaxUnlisted FaxMailing LocationMailing Address4190 Belfort Rd Ste 352, Jacksonville, FL 32216-1407Phone(904) 372-3943FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAPRN11005088Florida