# POINCIANA MEDICAL EQUIPMENT

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

## Provider details

- **NPI number:** 1942754239
- **Authorized official:** MR. HECTOR L RODRIGUEZ JR. AB (MANAGER)
- **Authorized official phone:** (321) 437-8888

## Contact information

- **Practice address:** 873 CYPRESS PKWY, KISSIMMEE, FL 34759-3408
- **Practice address phone:** (321) 437-8888
- **Practice address fax:** (321) 250-7425
- **Mailing address:** PO BOX 452878, KISSIMMEE, FL 34745-2878
- **Mailing address phone:** (321) 437-8888
- **Mailing address fax:** (321) 250-7425

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | FL | Yes |

## Other

- **Enumeration date:** 08/04/2016
- **Last updated:** 08/04/2016