Individual ProviderMichael HerringshawNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address11616 Lake Underhill Rd, Ste 215, Orlando, FL 32825(407) 482-7788PECOS EnrollmentBased on the most recent information from CMS, provider Michael Herringshaw 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 today at 11:51 AM.Profile DetailsProvider ID1912302431Provider TypeIndividualFull NameHerringshaw, MichaelCredentialMSN, FNP-C, RN, RCISGenderMaleSole ProprietorNoEnumeration Date10/27/2014Last Updated7/16/2018Contact InformationPractice LocationPractice Address11616 Lake Underhill Rd, Ste 215, Orlando, FL 32825Phone(407) 482-7788Fax(407) 482-8698Mailing LocationMailing Address11616 Lake Underhill Rd, Ste 215, Orlando, FL 32825-4463Phone(407) 482-7788Fax(407) 482-8698Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseARNP 9304278Florida