| Hosanna Medical Center Pllc | |
|
6150 Metrowest Blvd Ste 103 Orlando FL 32835-6019 | |
| (407) 395-2348 | |
| (407) 395-2349 |
| Full Name | Hosanna Medical Center Pllc |
|---|---|
| Speciality | General Practice |
| Location | 6150 Metrowest Blvd Ste 103, Orlando, Florida |
| Authorized Official Name and Position | Yamillie S Ortiz Lopez (OWNER) |
| Authorized Official Contact | 4073952348 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hosanna Medical Center Pllc 6150 Metrowest Blvd Ste 103 Orlando FL 32835-3290 Ph: (407) 395-2348 | Hosanna Medical Center Pllc 6150 Metrowest Blvd Ste 103 Orlando FL 32835-6019 Ph: (407) 395-2348 |
| NPI Number | 1710400841 |
|---|---|
| Provider Enumeration Date | 07/20/2017 |
| Last Update Date | 03/19/2024 |
| Medicare PECOS PAC ID | 1153697297 |
|---|---|
| Medicare Enrollment ID | O20171018000543 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710400841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Yamillie S Ortiz-lopez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1346274982 PECOS PAC ID: 6002841582 Enrollment ID: I20151124001664 |
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