Healthcare Provider Details

I. General information

NPI: 1144403924
Provider Name (Legal Business Name): NANCY SCHMELTZER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/14/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5575 S SEMORAN BLVD STE 39
ORLANDO FL
32822-1782
US

IV. Provider business mailing address

16304 WIND VIEW LN
WINTER GARDEN FL
34787-9231
US

V. Phone/Fax

Practice location:
  • Phone: 407-281-0228
  • Fax:
Mailing address:
  • Phone: 407-383-0896
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT6383
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: