| Vip Wellness Center Llc | |
|
3222 Hillsdale Ln Kissimmee FL 34741-7562 | |
| (407) 350-2120 | |
| Not Available |
| Full Name | Vip Wellness Center Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3222 Hillsdale Ln, Kissimmee, Florida |
| Authorized Official Name and Position | Lourdes M Sardinas (CEO) |
| Authorized Official Contact | 2393339092 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vip Wellness Center Llc 2685 Maxwell Ct W Kissimmee FL 34743-5629 Ph: (239) 333-9092 | Vip Wellness Center Llc 3222 Hillsdale Ln Kissimmee FL 34741-7562 Ph: (407) 350-2120 |
| NPI Number | 1881357580 |
|---|---|
| Provider Enumeration Date | 10/19/2021 |
| Last Update Date | 06/15/2023 |
| Medicare PECOS PAC ID | 9234500653 |
|---|---|
| Medicare Enrollment ID | O20230123002352 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881357580 | NPI | - | NPPES |
| Provider Name | Orly Pena Sanchez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1447212295 PECOS PAC ID: 7315962859 Enrollment ID: I20081018000123 |
| Provider Name | Rocio Labrada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154923290 PECOS PAC ID: 0143634873 Enrollment ID: I20210120002928 |
| Provider Name | Octavio De Jesus Cruz Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508453309 PECOS PAC ID: 3274847496 Enrollment ID: I20230623002823 |
| Provider Name | Gipsi Guilarte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821639972 PECOS PAC ID: 5799149647 Enrollment ID: I20230912001345 |
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