Healthcare Provider Details

I. General information

NPI: 1649184094
Provider Name (Legal Business Name): ELICA BRAGA DE ALMEIDA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6842 CHERRY LAKE RD FL 34736
GROVELAND FL
34736-8665
US

IV. Provider business mailing address

6842 CHERRY LAKE RD FL 34736
GROVELAND FL
34736-8665
US

V. Phone/Fax

Practice location:
  • Phone: 352-988-3300
  • Fax: 352-670-0043
Mailing address:
  • Phone: 352-988-3300
  • Fax: 352-670-0043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberPMT317
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: