Healthcare Provider Details

I. General information

NPI: 1013311927
Provider Name (Legal Business Name): ANA NASCIMENTO MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/21/2014
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13350 W COLONIAL DR STE 340
WINTER GARDEN FL
34787-3977
US

IV. Provider business mailing address

13350 W COLONIAL DR STE 340
WINTER GARDEN FL
34787-3977
US

V. Phone/Fax

Practice location:
  • Phone: 407-654-4433
  • Fax: 407-926-0209
Mailing address:
  • Phone: 407-654-4433
  • Fax: 407-926-0209

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH17268
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: