PRIMARY CARE MEDICAL SERVICES OF POINCIANA INC (NPI# 1407481039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407481039 |
Entity Type | Organization |
Organization Name | PRIMARY CARE MEDICAL SERVICES OF POINCIANA INC |
Other Organization Name | OSCEOLA COMMUNITY HEALTH SERVICES |
Practice Address |
4303 Cameron Preserve Cir Kissimmee FL 34746-6304 |
Mailing Address |
1877 Fortune Rd Kissimmee FL 34744-4428 |
Practice Telephone | 4079438600 |
Mailing Telephone | 4079438600 |
Enumeration Date | 2020-03-04 |
Last Update Date | 2020-10-01 |
Authorized Official Name | BELINDA JOHNSON-CORNETT (CEO) |
Authorized Official Telephone | 4079438600 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Osceola Community Health Services | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679185292 | Primary Care Medical Services of Poinciana Inc | Clinic/Center | 8600 W Irlo Bronson Memorial Hwy, Kissimmee, FL 34747-1001 | 2020-08-17 |
1528670312 | Primary Care Medical Services of Poinciana Inc | Clinic/Center | 1877 Fortune Rd, Kissimmee, FL 34744-4428 | 2020-08-21 |
1457986788 | Primary Care Medical Services of Poinciana Inc | Clinic/Center | 700 Generation Pt, Kissimmee, FL 34744-5957 | 2020-03-06 |
Street Address |
4303 CAMERON PRESERVE CIR |
City | KISSIMMEE |
State | FL |
Zip Code | 34746-6304 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548730195 | Suma Joseph Kurian | Nurse Practitioner | Florida Lung Asthma Lung Specialists, 3480 Polynesian Isle Blvd, Kissimmee, FL 34746 | 2018-11-27 |
1538663240 | Terri Alexander Charlock | Specialist/Technologist | 5314 Barefoot Path, Kissimmee, FL 34746 | 2018-03-19 |
1811404452 | Debbie Camille Carvalho | Psychologist | 4449 Great Habor Lane, Kissimmee, FL 34746 | 2018-01-04 |
1679096390 | Sheyla Marie Vargas | Behavior Technician | 4118 Shelter Bay Dr, Kissimmee, FL 34746 | 2017-07-25 |
1013464601 | Falguni Patel | Pharmacist | 3298 S John Young Parkway, Kissimmee, FL 34746 | 2016-09-01 |
1942656004 | Kheira Liz Rodriguez | Case Manager/Care Coordinator | 198 London Dr, Kissimme, FL 34746 | 2016-05-09 |
1821456005 | Irma Valentin | Counselor | 4166 Key Colony Pl, Kissimmee, FL 34746 | 2016-02-03 |
1780050310 | Catherine M Alfieri | Physician Assistant | 119 Sunny Oak Trl, Kissimmee, FL 34746 | 2015-08-18 |
1396043956 | Mary Staffa | Speech-Language Pathologist | 2222 Granger Ave, Kissimmee, FL 34746 | 2011-03-07 |
1457661787 | Melita Cogburn | Counselor | 111 Monument Ave, Suite 509, Kissimmee, FL 34746 | 2010-10-20 |
Find all providers in zip 34746 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679185292 | Primary Care Medical Services of Poinciana Inc | Clinic/Center | 8600 W Irlo Bronson Memorial Hwy, Kissimmee, FL 34747-1001 | 2020-08-17 |
1144733031 | Primary Care Medical Services of Poinciana | Clinic/Center | 2622 Simpson Rd, Kissimmee, FL 34744-4674 | 2017-11-14 |
1710375456 | Primary Care Medical Services of Poinciana | Clinic/Center | 109 N Doverplum Ave, Kissimmee, FL 34758 | 2015-01-05 |
1962890723 | Primary Care Medical Services of Poinciana | Clinic/Center | 1703 Business Center Ln, Kissimmee, FL 34758-1801 | 2015-01-02 |
1982002945 | Primary Care Medical Services of Poinciana | Clinic/Center | 1501-1503 Bill Beck Blvd, Kissimmee, FL 34744 | 2014-12-08 |
1528670312 | Primary Care Medical Services of Poinciana Inc | Clinic/Center | 1877 Fortune Rd, Kissimmee, FL 34744-4428 | 2020-08-21 |
1457986788 | Primary Care Medical Services of Poinciana Inc | Clinic/Center | 700 Generation Pt, Kissimmee, FL 34744-5957 | 2020-03-06 |
1043873342 | Primary Care Medical Services of Poinciana | Clinic/Center | 1501-1507 Bill Beck Blvd, Kissimmee, FL 34744 | 2019-04-22 |
1376093609 | Primary Care Medical Services of Poinciana | Clinic/Center | 1875 Fortune Rd, Kissimmee, FL 34744-4428 | 2016-10-11 |
1346663325 | Health Care Center for The Homeless, Inc. | Clinic/Center | 2198 Four Winds Blvd, Kissimmee, FL 34746-5957 | 2014-01-28 |
Find all providers in KISSIMMEE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.