| Charles D Bisogno Do Pa | |
|
201 Hilda St Suite 14 Kissimmee FL 34741-2320 | |
| (407) 846-8288 | |
| (407) 846-3162 |
| Full Name | Charles D Bisogno Do Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 201 Hilda St, Kissimmee, Florida |
| Authorized Official Name and Position | Charles D Bisogno (PRESIDENT/PHYSICIAN) |
| Authorized Official Contact | 4078468288 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles D Bisogno Do Pa 201 Hilda St Suite 14 Kissimmee FL 34741-2320 Ph: (407) 846-8288 | Charles D Bisogno Do Pa 201 Hilda St Suite 14 Kissimmee FL 34741-2320 Ph: (407) 846-8288 |
| NPI Number | 1801112438 |
|---|---|
| Provider Enumeration Date | 04/07/2010 |
| Last Update Date | 04/07/2010 |
| Medicare PECOS PAC ID | 5799979704 |
|---|---|
| Medicare Enrollment ID | O20101103001333 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801112438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS4508 (Florida) | Primary |
| 207RG0100X | Internal Medicine - Gastroenterology | OS4508 (Florida) | Secondary |
| Provider Name | Charles Delano Bisogno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538121082 PECOS PAC ID: 4981773561 Enrollment ID: I20101103001349 |
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