Individual ProviderPerminus NyawaraOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address300 Brooksville Avenue, Mt. Dora, FL 32757(352) 383-0051PECOS EnrollmentBased on the most recent information from CMS, provider Perminus Nyawara does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1679985444Provider TypeIndividualFull NameNyawara, PerminusTitleMr.GenderMaleSole ProprietorNoEnumeration Date5/28/2014Last Updated5/28/2014Contact InformationPractice LocationPractice Address300 Brooksville Avenue, Mt. Dora, FL 32757Phone(352) 383-0051FaxUnlisted FaxMailing LocationMailing Address225 Waterman Ave, Mt. Dora, FL 32757Phone(352) 383-0051FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense5673Florida