Look up the most recent NPI and PECOS records

Pauline Dixon

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

12280 Lake Underhill Rd, Orlando, FL 32825-5009

PECOS Enrollment

Based on the most recent information from CMS, provider Pauline Dixon 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 2 days ago.

Profile Details

Provider ID
1861936296
Provider Type
Individual
Full Name
Dixon, Pauline
Gender
Female

Sole Proprietor
Yes
Enumeration Date
12/4/2016
Last Updated
9/12/2023

Contact Information

Practice Location

12280 Lake Underhill Rd, Orlando, FL 32825-5009

(866) 389-2727

Unlisted Fax

Mailing Location

18232 Thornhill Grand Cir, Orlando, FL 32820-2731

(407) 334-9645

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 9299050 Florida
Code 363L00000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 9299050 Florida

Pauline Dixon

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Guambo, Jessica Maria

Ream, Xiaoyin

Darmalingum, Deandra

Tran, Thuy

Couch, Jennifer

Beltran, Raul Junior

Medrano, Urmilla

Griffith Chambers, Michelle

Acosta Luna, Wendy Carol

Osibanjo, Folake