Opm | |
801 W Oak St Suite 202 Kissimmee FL 34741-6614 | |
(407) 933-7119 | |
Not Available |
Full Name | Opm |
---|---|
Speciality | Internal Medicine |
Location | 801 W Oak St, Kissimmee, Florida |
Authorized Official Name and Position | Mark J Round (PRESIDENT) |
Authorized Official Contact | 4079337119 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Opm 801 W Oak St Suite 202 Kissimmee FL 34741-6614 Ph: (407) 933-7119 | Opm 801 W Oak St Suite 202 Kissimmee FL 34741-6614 Ph: (407) 933-7119 |
NPI Number | 1295930592 |
---|---|
Provider Enumeration Date | 06/18/2007 |
Last Update Date | 11/01/2012 |
Medicare PECOS PAC ID | 6800827981 |
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Medicare Enrollment ID | O20050829000519 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295930592 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME 62413 (Florida) | Primary |
Provider Name | Mark J Round |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265477640 PECOS PAC ID: 5890726970 Enrollment ID: I20050829000952 |
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