Mina Atanasious | Winter Park, FL • PECOS Search

Mina Atanasious

Pharmacist

Pharmacy Service Providers

1510 State Road 436, Winter Park, FL 32792-1502

PECOS Enrollment

Based on the most recent information from CMS, provider Mina Atanasious does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1780280818
Provider Type
Individual
Full Name
Atanasious, Mina
Gender
Male

Sole Proprietor
Yes
Enumeration Date
12/4/2020
Last Updated
12/4/2020

Contact Information

Practice Location

1510 State Road 436, Winter Park, FL 32792-1502

Unlisted Fax

Mailing Location

1510 State Road 436, Winter Park, FL 32792-1502

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 183500000X Primary	Description Pharmacist Pharmacy Service Providers	License PS42848 Florida