# WMC HEALTH GROUP OF KISSIMMEE

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

## Provider details

- **NPI number:** 1992150718
- **Authorized official:** MR. CARLOS A PEDRAJA (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (305) 692-9009

## Contact information

- **Practice address:** 3208 N JOHN YOUNG PKWY, H27, KISSIMMEE, FL 34741-7549
- **Practice address phone:** (305) 692-9009
- **Practice address fax:** (305) 501-4220
- **Mailing address:** 1380 NE MIAMI GARDENS DR, SUITE 210, NORTH MIAMI BEACH, FL 33179-4707
- **Mailing address phone:** (305) 692-9009
- **Mailing address fax:** (305) 501-4220

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | ME66407 | FL | Yes |

## Other

- **Enumeration date:** 04/29/2016
- **Last updated:** 04/29/2016