MEDICARE: TRANQUIL WATERS FOUNDATION INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1578337077
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRANQUIL WATERS FOUNDATION INC.

Provider Business Mailing Address
First Line	:	9145 NARCOOSSEE RD STE 106-193
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32827-5768
Country	:	US
Telephone Number	:	407-738-9408
Fax Number	:	949-543-2325

Provider Business Practice Location Address
First Line	:	9145 NARCOOSSEE RD STE 106-193
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32827-5768
Country	:	US
Telephone Number	:	407-738-9408
Fax Number	:	949-543-2325

Authorized Official
Title or Position	:	CEO/DIRECTOR
Name	:	MRS. ANN-MARIE D MIGLIONICO
Credential	:	LCSW
Telephone Number	:	407-738-9408

Provider Enumeration Date	:	11/14/2023
Last Update Date	:	03/24/2026

Similar Medicare Providers

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