Individual ProviderIleana VickersNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address52 Underwood St, Orlando, FL 32806-1110(321) 841-5236PECOS EnrollmentBased on the most recent information from CMS, provider Ileana Vickers 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 2 days ago.Profile DetailsProvider ID1952284002Provider TypeIndividualFull NameVickers, IleanaCredentialAPRNGenderFemaleSole ProprietorNoEnumeration Date7/28/2025Last Updated7/28/2025Contact InformationPractice LocationPractice Address52 Underwood St, Orlando, FL 32806-1110Phone(321) 841-5236FaxUnlisted FaxMailing LocationMailing Address3090 Caruso Ct Ste 50, Orlando, FL 32806-8565PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense11040915Florida