| Osceola Health Department | |
|
1875 Boggy Creak Rd Kissimmee FL 34744-9516 | |
| (407) 343-2000 | |
| Not Available |
| Full Name | Osceola Health Department |
|---|---|
| Speciality | Clinic/Center |
| Location | 1875 Boggy Creak Rd, Kissimmee, Florida |
| Authorized Official Name and Position | Donna Parker (BILLING SUPERVISOR) |
| Authorized Official Contact | 4073432050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Osceola Health Department 1875 Boggy Creek Rd Kissimmee FL 34744-9516 Ph: (407) 343-2000 | Osceola Health Department 1875 Boggy Creak Rd Kissimmee FL 34744-9516 Ph: (407) 343-2000 |
| NPI Number | 1487629200 |
|---|---|
| Provider Enumeration Date | 02/23/2006 |
| Last Update Date | 05/10/2010 |
| Medicare PECOS PAC ID | 3072424282 |
|---|---|
| Medicare Enrollment ID | O20100505000522 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487629200 | NPI | - | NPPES |
| 027959500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
| Provider Name | Mercedes D Cabaleiro |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1902931363 PECOS PAC ID: 6901057678 Enrollment ID: I20121107000224 |
| Provider Name | Radu Clincea |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1144272295 PECOS PAC ID: 4385870385 Enrollment ID: I20150901001693 |
| Provider Name | Cathy L Frazier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952778839 PECOS PAC ID: 8628354933 Enrollment ID: I20170420000930 |
| Provider Name | Allan Pratt |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1700876968 PECOS PAC ID: 4688643539 Enrollment ID: I20200107000443 |
| Provider Name | Milagros J Morales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093366205 PECOS PAC ID: 6103242284 Enrollment ID: I20200819003719 |
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