| Primecare Family Medical Centers Osceola Llc | |
|
217 E Oak St Kissimmee FL 34744-4503 | |
| (407) 988-1035 | |
| (407) 988-1034 |
| Full Name | Primecare Family Medical Centers Osceola Llc |
|---|---|
| Speciality | General Practice |
| Location | 217 E Oak St, Kissimmee, Florida |
| Authorized Official Name and Position | Rene Casanova (OWNER/PRESIDENT) |
| Authorized Official Contact | 3054421740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primecare Family Medical Centers Osceola Llc 7765 Nw 48th St Ste 300 Doral FL 33166-5404 Ph: (305) 442-1740 | Primecare Family Medical Centers Osceola Llc 217 E Oak St Kissimmee FL 34744-4503 Ph: (407) 988-1035 |
| NPI Number | 1841707171 |
|---|---|
| Provider Enumeration Date | 01/09/2018 |
| Last Update Date | 01/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841707171 | NPI | - | NPPES |
| 264910101 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME78770 (Florida) | Primary |
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