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Organization
OSCEOLA INTERNAL MEDICINE INC
Active
Organization
OSCEOLA INTERNAL MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ESTEBAN L JANOLO MD (VICE PRESIDENT)
(407) 348-8813
Entity
Organization
Contact information
Practice address
203 WESTMORELAND CIR, KISSIMMEE, FL 34744
(407) 348-8813
(407) 348-4486
Mailing address
203 WESTMORELAND CIR, KISSIMMEE, FL 34744-5463
(407) 348-8813
(407) 348-4486
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38377
MEDICARE GROUP NO.
FL
01
—
CK5659
RAILROAD MEDICARE
FL
Enumeration date
11/09/2007
Last updated
05/15/2018
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