Provider Demographics
NPI:1285454033
Name:MICHELLE RIOPEDRE LLC
Entity type:Organization
Organization Name:MICHELLE RIOPEDRE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:RIOPEDRE
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:407-738-5060
Mailing Address - Street 1:4864 STONE ACRES CIR
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34771-8864
Mailing Address - Country:US
Mailing Address - Phone:407-738-5060
Mailing Address - Fax:407-264-8367
Practice Address - Street 1:10967 LAKE UNDERHILL RD STE 107
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32825-4434
Practice Address - Country:US
Practice Address - Phone:407-738-5060
Practice Address - Fax:407-264-8367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-16
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty