Healthcare Provider Details

I. General information

NPI: 1225736119
Provider Name (Legal Business Name): MEGAN CREAMER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2023
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 E MILLER ST
WINTER GARDEN FL
34787-3570
US

IV. Provider business mailing address

32 E MILLER ST
WINTER GARDEN FL
34787-3570
US

V. Phone/Fax

Practice location:
  • Phone: 407-683-1072
  • Fax:
Mailing address:
  • Phone: 407-683-1072
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-25-83842
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: