| 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 |
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