Individual ProviderBenice MichelinNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address100 N Dean Rd, Orlando, FL 32825-3710(407) 384-7388PECOS EnrollmentBased on the most recent information from CMS, provider Benice Michelin is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1023723483Provider TypeIndividualFull NameMichelin, BeniceCredentialFNPGenderFemaleSole ProprietorNoEnumeration Date1/20/2023Last Updated1/20/2023Contact InformationPractice LocationPractice Address100 N Dean Rd, Orlando, FL 32825-3710Phone(407) 384-7388FaxUnlisted FaxMailing LocationMailing Address100 N Dean Rd, Orlando, FL 32825-3710PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAPRN11022526Florida