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Organization
PATIENT MEDICAL CENTER OF FLORIDA INC
Active
Organization
PATIENT MEDICAL CENTER OF FLORIDA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS MERCADO (VICE PRESIDENT)
(407) 288-8242
Entity
Organization
Contact information
Practice address
819 N CENTRAL AVE, KISSIMMEE, FL 34741
(407) 288-8242
(407) 490-1309
Mailing address
819 N CENTRAL AVE, KISSIMMEE, FL 34741-5027
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023559900
—
FL
Enumeration date
10/20/2017
Last updated
07/05/2018
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