| Jmj Family Practice Inc | |
|
300 N. John Young Pkwy Kissimmee FL 34741 | |
| (407) 935-9012 | |
| (407) 935-9108 |
| Full Name | Jmj Family Practice Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 300 N. John Young Pkwy, Kissimmee, Florida |
| Authorized Official Name and Position | Jose Ramon Fernandez (MEDICAL DOCTOR / OWNER) |
| Authorized Official Contact | 4079359012 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jmj Family Practice Inc 300 N John Young Pkwy Kissimmee FL 34741-4902 Ph: (407) 935-9012 | Jmj Family Practice Inc 300 N. John Young Pkwy Kissimmee FL 34741 Ph: (407) 935-9012 |
| NPI Number | 1295828887 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 09/12/2019 |
| Medicare PECOS PAC ID | 2264461011 |
|---|---|
| Medicare Enrollment ID | O20050811000598 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295828887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Jose R Fernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063516284 PECOS PAC ID: 4880623636 Enrollment ID: I20050811000619 |
| Provider Name | Linette M De Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699130799 PECOS PAC ID: 2961708573 Enrollment ID: I20160308002082 |
| Provider Name | Alexandra Y Rigaud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457866857 PECOS PAC ID: 9739433525 Enrollment ID: I20181114001153 |
| Provider Name | Sheila Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255990883 PECOS PAC ID: 6709117567 Enrollment ID: I20191008003422 |
| Provider Name | Carina Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497372692 PECOS PAC ID: 6709292568 Enrollment ID: I20210303001543 |
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