| Plaza De La Salud Pllc | |
|
2635 Boggy Creek Rd Kissimmee FL 34744-4101 | |
| (239) 314-4600 | |
| Not Available |
| Full Name | Plaza De La Salud Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2635 Boggy Creek Rd, Kissimmee, Florida |
| Authorized Official Name and Position | Gerardo Feliciano (MEMBER) |
| Authorized Official Contact | 2393144600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plaza De La Salud Pllc 2635 Boggy Creek Rd Kissimmee FL 34744-4101 Ph: (239) 314-4600 | Plaza De La Salud Pllc 2635 Boggy Creek Rd Kissimmee FL 34744-4101 Ph: (239) 314-4600 |
| NPI Number | 1942500855 |
|---|---|
| Provider Enumeration Date | 10/25/2010 |
| Last Update Date | 08/05/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942500855 | NPI | - | NPPES |
| DE030Y | Other | FL | MEDICARE PTAN DR FELICIANO |
| EZ306A | Other | FL | MEDICARE PTAN PLAZA DE LA SALUD |
| 1942283429 | Other | FL | DR GERARDO FELICIANO NPI |
| 4240180 | Other | FL | CIGNA |
| DE030Y | Other | FL | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME105191 (Florida) | Primary |
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