Active NPI
Manouchka Mildor, APRN
- Family Nurse Practitioner
- Wellington, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11028111
- Practice address
- 1037 S State Road 7 Ste 303
Wellington, FL 33414-6140 - Phone
- (561) 366-4100
- Fax
- (561) 798-5581
- NPI assigned
- Sep 27, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN11028111 | FL | |
| Family Nurse Practitioner | 363LF0000X | APRN11028111 | FL | Primary |
Addresses
Primary practice location
1037 S State Road 7 Ste 303
Wellington, FL 33414-6140
Mailing address
PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 274-8200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11028111 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mind and Wellness Healthcare Services | Psychiatric/Mental Health | Current | Accepting new patients |
| Florida Cancer Specialists & Research Institute, LLC | Current | Accepting new patients | |
| Holistic Behavioral Health LLC | Current | Accepting new patients | |
| Elohim Health and Wellness LLC | Current | Accepting new patients |
Locations
3840 Broadway
Fort Myers, FL 33901
Phone (239) 275-6400
5700 Lake Worth Rd
Ste 209-8
Greenacres, FL 33463
Phone (561) 258-4867
1037 S State Road 7
Ste 303
Wellington, FL 33414
1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309
1309 N Flagler Dr
Fl Cancer
West Palm Beach, FL 33401
5988 Mid Rivers Mall Dr
Ste 120
Saint Peters, MO 63304
Phone (636) 775-8952
Networks
- Freedom Health HMO Network
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Medical Oncology Physician
- Cape Coral, FL
- NPI 1760590962
-
- Psychiatric/Mental Health Nurse Practitioner
- Greenacres, FL
- NPI 1427819762
-
- Family Medicine Physician
- Greenacres, FL
- NPI 1114630332
-
- Psychiatry Physician
- Lake Saint Louis, MO
- NPI 1457103103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782172800000",
"number": "1265211395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 102222",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303682222",
"telephone_number": "239-274-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1037 S STATE ROAD 7 STE 303",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334146140",
"telephone_number": "561-366-4100",
"fax_number": "561-798-5581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILDOR",
"first_name": "MANOUCHKA",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-27",
"last_updated": "2026-06-23",
"certification_date": "2026-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11028111",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11028111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.