PRIMARY CARE MEDICAL SERVICES OF POINCIANA


Address: 109 N Doverplum Ave, Kissimmee, FL 34758
Phone: 4079438600

PRIMARY CARE MEDICAL SERVICES OF POINCIANA (NPI# 1710375456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710375456
Entity Type Organization
Organization Name PRIMARY CARE MEDICAL SERVICES OF POINCIANA
Other Organization Name OSCEOLA COMMUNITY HEALTH SERVICES AT POINCIAN
Practice Address 109 N Doverplum Ave
Kissimmee
FL 34758
Mailing Address 1877 Fortune Rd
Kissimmee
FL 34744-4428
Practice Telephone 4079438600
Mailing Telephone 4079438600
Enumeration Date 2015-01-05
Last Update Date 2019-06-25
Authorized Official Name BELINDA JOHNSON-CORNETT (CEO)
Authorized Official Telephone 4073432000
Is Organization Subpart N

Taxonomy

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 Provider Identifier

State Issuer Identifier Type Code
FL 000835600 05

Other Provider/Organization Names

Other Name Type Code
Osceola Community Health Services at Poincian Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1144733031 Primary Care Medical Services of Poinciana Clinic/Center 2622 Simpson Rd, Kissimmee, FL 34744-4674 2017-11-14
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
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
1801284443 Primary Care Medical Services of Poinciana Clinic/Center 1050 Grape Ave, Saint Cloud, FL 34769-3965 2015-01-06

Office Location

Street Address 109 N DOVERPLUM AVE
City KISSIMMEE
State FL
Zip Code 34758

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417415308 Michelle T Pickett Home Health Aide 260 Cranbrook Dr, Kissimmee, FL 34758 2019-03-09
1205359924 Michelle Lee Piesbergen Counselor 909 Halifax Drive, Kissimmee, FL 34758 2017-07-25
1467827857 Elina Cruz Behavioral Analyst 819 San Pedro, Kissimmee, FL 34758 2015-12-10
1194154054 Purple Cactus, LLC Community/Behavioral Health 2515 Old Kent Circle, Kissimmee, FL 34758 2013-11-01
1205270683 Deborah Kay Dziekiewicz Respiratory Therapist, Registered 4984 Bond St W, Kissimmee, FL 34758 2013-04-29
1912246786 Poinciana Medical Center, Inc. General Acute Care Hospital 325 Cypress Parkway, Kissimmee, FL 34758 2013-02-13
1811947625 Olga L Aponte Registered Nurse 105 N Doverplum, Poinciana, FL 34758 2006-05-11
1770549784 Norma Sanchez Gonzalez Personal Emergency Response Attendant 51 N Doverplum Ave, Kissimmee, FL 34758 2006-04-26
1861919631 Josette Telisier Altidor Adult Companion 541 Brentford Ct, Kissimmee, FL 34758 2017-08-23
1073937785 Purple Cactus, LLC Counselor 2515 Old Kent Circle, Kissimmee, FL 34758 2014-02-17
Find all providers in zip 34758

Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
1407481039 Primary Care Medical Services of Poinciana Inc Clinic/Center 4303 Cameron Preserve Cir, Kissimmee, FL 34746-6304 2020-03-04
1144733031 Primary Care Medical Services of Poinciana Clinic/Center 2622 Simpson Rd, Kissimmee, FL 34744-4674 2017-11-14
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

Competitor

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City KISSIMMEE
Zip Code 34758

Improve Information

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Dataset Information

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.

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