Organization
PRIMARY CARE MEDICAL SERVICES OF POINCIANA, INC.
Active
Other names
Mobile Dental Care #2
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BELINDA JOHNSON-CORNETT (CEO)
(407) 414-9760
Entity
Organization
Contact information
Practice address
1875 FORTUNE RD, KISSIMMEE, FL 34744-4428
(407) 943-8600
Mailing address
1503 BILL BECK BLVD, KISSIMMEE, FL 34744-9516
(407) 943-8600
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/21/2024
Last updated
01/28/2025
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