| Poinciana Healthcare Inc | |
|
4693-a Old Pleasant Hill Road Kissimmee FL 34759 | |
| (407) 933-0305 | |
| Not Available |
| Full Name | Poinciana Healthcare Inc |
|---|---|
| Speciality | General Practice |
| Location | 4693-a Old Pleasant Hill Road, Kissimmee, Florida |
| Authorized Official Name and Position | Raymond Levy (PRESIDENT) |
| Authorized Official Contact | 3052529485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Poinciana Healthcare Inc 9780 E Indigo St Ste 202 Palmetto Bay FL 33157-5610 Ph: (305) 252-9485 | Poinciana Healthcare Inc 4693-a Old Pleasant Hill Road Kissimmee FL 34759 Ph: (407) 933-0305 |
| NPI Number | 1831838770 |
|---|---|
| Provider Enumeration Date | 05/31/2022 |
| Last Update Date | 05/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831838770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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