Individual provider Active NPI

Enel Vildor, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Altamonte Springs, FL
National Provider Identifier
1457064933
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11023575 Issued in FL
Practice address
235 N Westmonte Dr Ste 105
Altamonte Springs, FL 32714-3345
Phone
(689) 349-0560
NPI assigned
Dec 29, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11023575 FL Primary

Addresses

Primary practice location

235 N Westmonte Dr Ste 105
Altamonte Springs, FL 32714-3345

Mailing address

775 Cascading Creek LN
Winter Garden, FL 34787-5911
Phone (407) 461-7832

Other practice location 1

7901 4th St N
St Petersburg, FL 33702-4305
Phone (689) 349-0560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240315001139 FL Practitioner - Nurse Practitioner 6901242619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dna Comprehensive Therapy Services LLCGroup PAC ID 2860619632, 446 clinicians

Practice addresses (Care Compare)

2959 Alafaya TRL
Suite 121
Oviedo, FL 32765-9482
Phone (407) 986-1360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11023575FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Balance Online PLLC Current Accepting new patients
Dna Comprehensive Therapy Services, LLC CurrentSince Mar 1, 2024 Accepting new patients
Bonita Springs Retirement Village, Inc. CurrentSince Mar 1, 2024 Accepting new patients

Locations

235 N Westmonte Dr
Altamonte Springs, FL 32714
Phone (407) 262-5710

4310 Metro Pkwy
Ste 205
Fort Myers, FL 33916

2959 Alafaya Trl
Ste 121
Oviedo, FL 32765
Phone (407) 359-5220

3191 Harbor Blvd
Ste A
Pt Charlotte, FL 33952
Phone (941) 766-9555

5825 Argerian Dr
Ste 101
Wesley Chapel, FL 33545
Phone (813) 687-4870

Interoperability endpoints

  • Direct secure messaging: enel.vildor.1@13142.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1457064933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 CASCADING CREEK LN",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347875911",
            "telephone_number": "407-461-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 N WESTMONTE DR STE 105",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327143345",
            "telephone_number": "689-349-0560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7901 4th St N",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337024305",
            "country_code": "US",
            "telephone_number": "689-349-0560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILDOR",
        "first_name": "ENEL",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-29",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11023575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.