| John Thomas Littell,m.d.,p.a. | |
|
300 Park Place Blvd Kissimmee FL 34741-2325 | |
| (407) 343-1711 | |
| (407) 343-1611 |
| Full Name | John Thomas Littell,m.d.,p.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 300 Park Place Blvd, Kissimmee, Florida |
| Authorized Official Name and Position | John Thomas Littell (PHYSICIAN) |
| Authorized Official Contact | 4073431711 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John Thomas Littell,m.d.,p.a. 300 Park Place Blvd Kissimmee FL 34741-2325 Ph: (407) 343-1711 | John Thomas Littell,m.d.,p.a. 300 Park Place Blvd Kissimmee FL 34741-2325 Ph: (407) 343-1711 |
| NPI Number | 1821199274 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 01/14/2014 |
| Medicare PECOS PAC ID | 9234135617 |
|---|---|
| Medicare Enrollment ID | O20101220000827 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821199274 | NPI | - | NPPES |
| 256228600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME76131 (Florida) | Primary |
| Provider Name | John Thomas Littell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609896323 PECOS PAC ID: 0143226589 Enrollment ID: I20101214001042 |
| Provider Name | Anne Marie Littell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942707328 PECOS PAC ID: 5193077444 Enrollment ID: I20211222001663 |
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