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WMC HEALTH GROUP OF KISSIMMEE NPI 1992150718


NPI Information

NPI: 1992150718
Provider Name: WMC HEALTH GROUP OF KISSIMMEE
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
3208 N JOHN YOUNG PKWY
H27
KISSIMMEE, FL
ZIP 34741
Phone: (305) 692-9009
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WMC HEALTH GROUP OF KISSIMMEE is an adult medicine family medicine in Kissimmee, FL. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. WMC HEALTH GROUP OF KISSIMMEE NPI is 1992150718. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3208 N JOHN YOUNG PKWY
H27
KISSIMMEE, FL
ZIP 34741-549
Phone: (305) 692-9009
Fax: (305) 501-4220

The provider's authorized official is Carlos A Pedraja .
The authorized official title is Chief Operating Officer and has the following contact phone number (305) 692-9009.

The enumeration date for this NPI number is 4/29/2016 and was last updated on 4/29/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QA0505XFamily MedicineAdult MedicineME66407FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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