Individual ProviderPhabrina RichemondNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address525 Technology Park Ste 109, Lake Mary, FL 32746-7107(407) 647-2346(954) 338-8843PECOS EnrollmentBased on the most recent information from CMS, provider Phabrina Richemond 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 ID1962251132Provider TypeIndividualFull NameRichemond, PhabrinaTitleDr.CredentialPMHNPGenderFemaleSole ProprietorYesEnumeration Date5/17/2024Last Updated3/15/2025Contact InformationPractice LocationPractice Address525 Technology Park Ste 109, Lake Mary, FL 32746-7107Phone(407) 647-2346FaxUnlisted FaxMailing LocationMailing Address5373 NW 64th Way, Coral Springs, FL 33067-2712Phone(954) 338-8843FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LP0808XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense2024007536Florida