MEDICARE: A.I.D.3

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	251J00000X	Nursing Care Agency	4326	FL

General Provider Information

NPI Number	:	1881019578
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A.I.D.3

Provider Business Mailing Address
First Line	:	2443 LEE RD
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789-1755
Country	:	US
Telephone Number	:	321-441-3695
Fax Number	:	407-960-3946

Provider Business Practice Location Address
First Line	:	2443 LEE RD
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789-1755
Country	:	US
Telephone Number	:	321-441-3695
Fax Number	:	407-960-3946

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	FENNA E. BACCHUS
Credential	:	RN
Telephone Number	:	321-441-3695

Provider Enumeration Date	:	03/04/2014
Last Update Date	:	03/04/2014

Similar Medicare Providers

1467875658 — RHONDA M GOODALL LMT FS RCA LE
Practice Location Address:

2445 LEE RD
WINTER PARK, FL
32789-1755

Practice Phone: 407-547-5576
Practice Fax:

1477787638 — SHRUTI NIKETAN TEWAR M.D.
Practice Location Address:

2435 LEE RD
WINTER PARK, FL
32789-1755

Practice Phone: 407-564-3375
Practice Fax: 407-564-3379

1437578390 — JOYFUL MUSIC THERAPY LLC
Practice Location Address:

2435 LEE RD
WINTER PARK, FL
32789-1755

Practice Phone: 407-489-1783
Practice Fax:

1871382325 — TAMRI NICOLE HAMPTON DAOM, LAC
Practice Location Address:

2445 LEE RD
WINTER PARK, FL
32789-1755

Practice Phone: 407-443-7791
Practice Fax:

1669056404 — YIEN SAETEURN
Practice Location Address:

3331 WINTER PARK DR APT 31
SACRAMENTO, CA
95834-1755

Practice Phone: 916-228-0694
Practice Fax:

1972125482 — LAURA DAVIS WALLS APRN, FNP-BC, NP-C
Practice Location Address:

1755 6TH ST NW STE 2B
WINTER HAVEN, FL
33881-2301

Practice Phone: 863-323-9813
Practice Fax:

Directions to “A.I.D.3 ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.