Organization
PRIMARY CARE MEDICAL SERVICES OF POINCIANA INC
Active
Other names
Osceola Community Health Services at Intercession City
Organization subpart
No
Provider details
NPI number
Authorized official
BELINDA JOHNSON-CORNETT (CEO)
(407) 943-8600
Entity
Organization
Contact information
Practice address
1703 BUSINESS CENTER LN, KISSIMMEE, FL 34758-1801
(407) 944-7190
Mailing address
1503 BILL BECK BLVD, KISSIMMEE, FL 34744-9516
(407) 943-8600
(407) 932-5140
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
01/02/2015
Last updated
08/05/2024
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