Pain Free Orlando | |
1611 N Main St Kissimmee FL 34744-3304 | |
(407) 344-4878 | |
(407) 344-7878 |
Full Name | Pain Free Orlando |
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Speciality | Nurse Practitioner |
Location | 1611 N Main St, Kissimmee, Florida |
Authorized Official Name and Position | Thomas Patrick Entwistle (PHYSICIAN / OWNER) |
Authorized Official Contact | 4073444878 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pain Free Orlando 1611 N Main St Kissimmee FL 34744-3304 Ph: (407) 344-4878 | Pain Free Orlando 1611 N Main St Kissimmee FL 34744-3304 Ph: (407) 344-4878 |
NPI Number | 1316232200 |
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Provider Enumeration Date | 06/18/2011 |
Last Update Date | 02/24/2022 |
Medicare PECOS PAC ID | 8527222025 |
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Medicare Enrollment ID | O20120613000563 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316232200 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
Provider Name | Thomas P Entwistle |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1528353497 PECOS PAC ID: 9234393737 Enrollment ID: I20120613000608 |
Provider Name | Edward Patrick P Soriano |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1487848578 PECOS PAC ID: 6901996214 Enrollment ID: I20151215002635 |
Provider Name | Melissa Cunningham |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760809339 PECOS PAC ID: 0547648107 Enrollment ID: I20220609002813 |
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