Organization
VINELAND MEDICAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HARRY HINDI PA (OWNER)
(813) 410-2914
Entity
Organization
Contact information
Practice address
1319 E VINE ST, KISSIMMEE, FL 34744-3642
(813) 410-2914
Mailing address
1319 E VINE ST, KISSIMMEE, FL 34744-3642
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9100810
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006488200
—
FL
Enumeration date
03/12/2014
Last updated
03/12/2014
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