MEDICARE: MISS PATRICIA ANN FLEURANT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	IMH24285	FL

General Provider Information

NPI Number	:	1346051497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS PATRICIA ANN FLEURANT

Provider Business Mailing Address
First Line	:	3001 SILVER LEAF CT
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34741-7642
Country	:	US
Telephone Number	:	718-864-8122
Fax Number	:

Provider Business Practice Location Address
First Line	:	1728 E MICHIGAN ST
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32806-4935
Country	:	US
Telephone Number	:	407-254-9370
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/17/2025
Last Update Date	:	01/29/2025

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Directions to “ MISS PATRICIA ANN FLEURANT ” Practice Location

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