| Tranquil Waters Foundation Inc. | |
|
12617 Narcoossee Road Suite 110 Orlando FL 32832-7147 | |
| (407) 738-9408 | |
| (321) 999-9389 |
| Full Name | Tranquil Waters Foundation Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 12617 Narcoossee Road, Orlando, Florida |
| Authorized Official Name and Position | Ann-marie Miglionico (CEO/DIRECTOR) |
| Authorized Official Contact | 4077389408 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tranquil Waters Foundation Inc. 12617 Narcoossee Road Suite 110 Orlando FL 32832 Ph: (407) 738-9408 | Tranquil Waters Foundation Inc. 12617 Narcoossee Road Suite 110 Orlando FL 32832-7147 Ph: (407) 738-9408 |
| NPI Number | 1982470233 |
|---|---|
| Provider Enumeration Date | 11/28/2023 |
| Last Update Date | 11/29/2023 |
| Medicare PECOS PAC ID | 7113459082 |
|---|---|
| Medicare Enrollment ID | O20241016003214 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982470233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Ann-marie D Miglionico |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710315684 PECOS PAC ID: 9335438316 Enrollment ID: I20160513001548 |
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