Organization
PRIMARY CARE MEDICAL SERVICES OF POINCIANA INC
Active
Other names
Osceola Community Health Services at St Cloud
Organization subpart
No
Provider details
NPI number
Authorized official
BELINDA JOHNSON-CORNETT (CEO)
(407) 943-8600
Entity
Organization
Contact information
Practice address
1050 GRAPE AVE, SAINT CLOUD, FL 34769-3965
(407) 943-8699
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000835600
—
FL
Enumeration date
01/06/2015
Last updated
08/05/2024
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