Healthcare Provider Details

I. General information

NPI: 1891332425
Provider Name (Legal Business Name): MICHELLE DAN EL CARR INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2019
Last Update Date: 05/18/2022
Certification Date: 05/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

902 MARLENE DR
OCOEE FL
34761-3228
US

IV. Provider business mailing address

1317 EDGEWATER DR STE 300
ORLANDO FL
32804-6350
US

V. Phone/Fax

Practice location:
  • Phone: 407-435-1965
  • Fax:
Mailing address:
  • Phone: 497-435-1965
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE DAN EL CARR
Title or Position: CNS
Credential: APRN
Phone: 407-435-1965