Organization
PHYSICIAN'S CARE OF POINCIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISEO D. ESPAILLAT (MGRM)
(786) 333-7856
Entity
Organization
Contact information
Practice address
3358 W SOUTHPORT RD, KISSIMMEE, FL 34746-2706
(786) 333-7856
(305) 846-9389
Mailing address
3358 W SOUTHPORT RD, KISSIMMEE, FL 34746-2706
(786) 333-7856
(305) 846-9389
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
ME18355
FL
Other
Enumeration date
05/18/2011
Last updated
05/18/2011
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