| Valora Medical Center Of Florida Llc | |
|
819 E Oak St Ste A Kissimmee FL 34744-5842 | |
| (844) 825-6724 | |
| Not Available |
| Full Name | Valora Medical Center Of Florida Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 819 E Oak St Ste A, Kissimmee, Florida |
| Authorized Official Name and Position | Patricia Pichardo (COO) |
| Authorized Official Contact | 4074601292 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valora Medical Center Of Florida Llc 5601 Executive Dr Ste 200 Irving TX 75038-2508 Ph: (844) 825-6724 | Valora Medical Center Of Florida Llc 819 E Oak St Ste A Kissimmee FL 34744-5842 Ph: (844) 825-6724 |
| NPI Number | 1316705650 |
|---|---|
| Provider Enumeration Date | 03/11/2024 |
| Last Update Date | 04/02/2024 |
| Medicare PECOS PAC ID | 7113368911 |
|---|---|
| Medicare Enrollment ID | O20240510001347 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316705650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Benjamin Moreno |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1548212897 PECOS PAC ID: 8022020981 Enrollment ID: I20131015000505 |
| Provider Name | Jose Guillermo Maza Segura |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1467885640 PECOS PAC ID: 0345466603 Enrollment ID: I20140722000944 |
| Provider Name | Maria Vazquez Torres |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1013950682 PECOS PAC ID: 3375799596 Enrollment ID: I20151210002154 |
| Provider Name | Omar Perez Soto |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1255354841 PECOS PAC ID: 1850359456 Enrollment ID: I20170425003106 |
| Provider Name | Luis Miguel Nunez Arroyo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1205307188 PECOS PAC ID: 2264867258 Enrollment ID: I20200623001690 |
| Provider Name | Cynthia M Banuchi-rios |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124234034 PECOS PAC ID: 6709043482 Enrollment ID: I20211103002875 |
| Provider Name | Dalienne Marie Juarbe Garcia |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1245821313 PECOS PAC ID: 1052796760 Enrollment ID: I20230621000918 |
| Provider Name | Stephen Schloneger |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1578160768 PECOS PAC ID: 3678989589 Enrollment ID: I20240829003289 |
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