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17 18 Oak Breeze Ave Kissimmee FL 34744 | |
| (407) 460-3558 | |
| (321) 785-1299 |
| Full Name | |
|---|---|
| Speciality | General Practice |
| Location | 17 18 Oak Breeze Ave, Kissimmee, Florida |
| Authorized Official Name and Position | Ana Paula Marques (OWNER) |
| Authorized Official Contact | 4074603558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
17 18 Oak Breeze Ave Kissimmee FL 34744 Ph: (407) 460-3558 | 17 18 Oak Breeze Ave Kissimmee FL 34744 Ph: (407) 460-3558 |
| NPI Number | 1609027911 |
|---|---|
| Provider Enumeration Date | 10/06/2008 |
| Last Update Date | 01/15/2020 |
| Certification Date | 01/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609027911 | NPI | - | NPPES |
| 000497400 | Medicaid | FL |
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