Healthcare Provider Details

I. General information

NPI: 1841661964
Provider Name (Legal Business Name): MICHELLE SAUER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/15/2015
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2930 MAGUIRE RD STE 200
OCOEE FL
34761-4750
US

IV. Provider business mailing address

175 MIDDLE ST UNIT 1201
LAKE MARY FL
32746-3625
US

V. Phone/Fax

Practice location:
  • Phone: 407-602-5010
  • Fax:
Mailing address:
  • Phone: 407-613-2335
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-19-39818
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: