| Vip Family Practice Llc | |
|
401 W Oak St Kissimmee FL 34741-4931 | |
| (407) 730-9911 | |
| (407) 730-3545 |
| Full Name | Vip Family Practice Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 401 W Oak St, Kissimmee, Florida |
| Authorized Official Name and Position | Frank John Yanez (MEDICAL DIRECTOR/OWNER) |
| Authorized Official Contact | 4076742044 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vip Family Practice Llc 401 W Oak St Kissimmee FL 34741-4931 Ph: (407) 674-2044 | Vip Family Practice Llc 401 W Oak St Kissimmee FL 34741-4931 Ph: (407) 730-9911 |
| NPI Number | 1669725552 |
|---|---|
| Provider Enumeration Date | 10/17/2012 |
| Last Update Date | 02/11/2023 |
| Medicare PECOS PAC ID | 7113146168 |
|---|---|
| Medicare Enrollment ID | O20140924000692 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669725552 | NPI | - | NPPES |
| 000864700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ACN235 (Florida) | Primary |
| Provider Name | Frank J Yanez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578780524 PECOS PAC ID: 3870642010 Enrollment ID: I20090519000365 |
| Provider Name | Carlos Del Rosario Mesa |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1215314737 PECOS PAC ID: 8729378716 Enrollment ID: I20160603000079 |
| Provider Name | Miguel Yanes Delgado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821466616 PECOS PAC ID: 5496033813 Enrollment ID: I20161104001476 |
| Provider Name | Ernesto Velazquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255973434 PECOS PAC ID: 3072942648 Enrollment ID: I20200402000245 |
| Provider Name | Rocio Labrada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154923290 PECOS PAC ID: 0143634873 Enrollment ID: I20210120002928 |
| Provider Name | Edelio V De Zayas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134747470 PECOS PAC ID: 8921413964 Enrollment ID: I20210224001932 |
| Provider Name | Luis Antonio Paesano Alfaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851026082 PECOS PAC ID: 1658754379 Enrollment ID: I20220812002426 |
| Provider Name | Aramis Nunez Quintana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801516844 PECOS PAC ID: 1153780762 Enrollment ID: I20230629002461 |
| Provider Name | Juana L Nodarse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477142719 PECOS PAC ID: 2961849773 Enrollment ID: I20240401000134 |
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