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Organization

OSCEOLA REGIONAL HOSPITALISTS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN JOHANNESSEN (VP)
(727) 793-6004
Entity
Organization

Contact information

Practice address
700 W OAK ST, KISSIMMEE, FL 34741-4924
(407) 518-3650
(407) 518-3650
Mailing address
720 W OAK ST, KISSIMMEE, FL 34741-4989
(407) 518-3650
(407) 518-3650

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000199400
FL
01
72458
BCBS FL
FL
Enumeration date
02/21/2008
Last updated
02/11/2010
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