# MINI HEALTH CLINIC KISSIMMEE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194690545
- **Authorized official:** MRS. TRESHA ELIZABETH WILLIAMS APRN (OWNER/NURSE PRACTITIONER)
- **Authorized official phone:** (689) 263-3351

## Contact information

- **Practice address:** 318 N JOHN YOUNG PKWY STE 5, KISSIMMEE, FL 34741-4927
- **Practice address phone:** (352) 227-3000
- **Practice address fax:** (352) 505-7738
- **Mailing address:** 318 N JOHN YOUNG PKWY STE 5, KISSIMMEE, FL 34741-4927
- **Mailing address phone:** (352) 227-3000
- **Mailing address fax:** (352) 505-7738

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/07/2025
- **Last updated:** 10/27/2025