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4551 Pleasant Hill Rd Poinciana FL 34759-3422 | |
(407) 847-2212 | |
(407) 847-5638 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 4551 Pleasant Hill Rd, Poinciana, Florida |
Authorized Official Name and Position | Diana S. Gauchat (ADMINISTRATOR) |
Authorized Official Contact | 4073480990 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2551 Boggy Creek Rd Kissimmee FL 34744-3806 Ph: (407) 348-0990 | 4551 Pleasant Hill Rd Poinciana FL 34759-3422 Ph: (407) 847-2212 |
NPI Number | 1184634073 |
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Provider Enumeration Date | 08/09/2006 |
Last Update Date | 03/20/2012 |
Identifier | Type | State | Issuer |
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1184634073 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Soni Family Practice, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1060 Cypress Pkwy Unit 101, Poinciana, FL 34759 Phone: 863-588-4775 |