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Pavel Kurosh

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

12280 Lake Underhill Rd, Orlando, FL 32825-5009

PECOS Enrollment

Based on the most recent information from CMS, provider Pavel Kurosh is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1609505965
Provider Type
Individual
Full Name
Kurosh, Pavel
Title
Dr.
Credential
FNP-BC

Gender
Male
Sole Proprietor
No
Enumeration Date
6/9/2022
Last Updated
5/13/2025

Contact Information

Practice Location

12280 Lake Underhill Rd, Orlando, FL 32825-5009

(239) 224-9547

Unlisted Fax

Mailing Location

12280 Lake Underhill Rd, Orlando, FL 32825-5009

(239) 224-9547

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APRN11018085 Florida

Pavel Kurosh

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Couch, Jennifer

Otero, Lisa Christine

Jauregui, Cintli America

Wright-Cole, Jacqueline Navlett

Ross, Shalan Nattoya

Way, Jamila Elizabeth

Achmad, Roslyn Jill

Darmalingum, Deandra

Clark, Kali Amara

Webb, Gina M.