<Unavail>

LBN: Physician Next Door
<Unavail> is an health care organization with primary practice located at 339 Cypress Pkwy Ste 110 , Kissimmee FL 34759-3315. The organization recently has 2 registered licenses in different health care specialties including Managed Care Organizations / Health Maintenance Organization, Managed Care Organizations / Point of Service. Managed Care Organizations / Health Maintenance Organization is the primary health care specialty. Physician Next Door can be contacted via phone (407) 343-0542, or through Fuentes, Jackie via phone (786) 546-3714.

Contact Information

Primary practice address
339 Cypress Pkwy Ste 110 Kissimmee FL 34759-3315
Phone: (407) 343-0542
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fuentes, Jackie
Phone: (786) 546-3714

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X
Managed Care Organizations / Point of Service 305S00000X

Profile Details

NPI number 1952768582
LBN Legal business name Physician Next Door
DBA Doing business as <Unavail>
Authorized official Fuentes, Jackie
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 27th, 2016
Last updated Jan 27th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers