Healthcare Provider Details

I. General information

NPI: 1033902150
Provider Name (Legal Business Name): HEALTH E-CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2025
Last Update Date: 05/22/2025
Certification Date: 05/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3515 MCCORMICK WOODS DR
OCOEE FL
34761-4460
US

IV. Provider business mailing address

255 S ORANGE AVE STE 104
ORLANDO FL
32801-3411
US

V. Phone/Fax

Practice location:
  • Phone: 407-768-4640
  • Fax: 407-606-8774
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: TRACI HAMMEL
Title or Position: MANAGER
Credential:
Phone: 407-768-4640