Individual ProviderTamara Pedroso MarquezNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1633 Ensenada Dr Fl 32825, Orlando, FL 32825-86171315883954PECOS EnrollmentBased on the most recent information from CMS, provider Tamara Pedroso Marquez 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 11:51 AM.Profile DetailsProvider ID1992423669Provider TypeIndividualFull NamePedroso Marquez, TamaraCredentialAPRNGenderFemaleSole ProprietorNoEnumeration Date8/18/2022Last Updated4/19/2024Contact InformationPractice LocationPractice Address1633 Ensenada Dr Fl 32825, Orlando, FL 32825-8617Phone1315883954FaxUnlisted FaxMailing LocationMailing Address1633 Ensenada Dr Fl 32825, Orlando, FL 32825-8617Phone1315883954FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAPRN11021149FloridaProvider IdentifiersIDDescriptionIssuerIDF07221761DescriptionMedicaidIssuerUnlistedFlorida