Provider Demographics
NPI:1891332425
Name:MICHELLE DAN EL CARR INC
Entity type:Organization
Organization Name:MICHELLE DAN EL CARR INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CNS
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:DAN EL
Authorized Official - Last Name:CARR
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:407-435-1965
Mailing Address - Street 1:1317 EDGEWATER DR STE 300
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-6350
Mailing Address - Country:US
Mailing Address - Phone:497-435-1965
Mailing Address - Fax:
Practice Address - Street 1:902 MARLENE DR
Practice Address - Street 2:
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-3228
Practice Address - Country:US
Practice Address - Phone:407-435-1965
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-02
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, AdultGroup - Single Specialty