Poinciana Medical Clinic

LBN: Poinciana Medical Clinic
Poinciana Medical Clinic is an health care organization with primary practice located at 51 N Doverplum Ave , Kissimmee FL 34758-3308. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Poinciana Medical Clinic can be contacted via phone (407) 572-8862, or through Rivera Soler, Ivan A via phone (407) 572-8862.

Contact Information

Primary practice address
51 N Doverplum Ave Kissimmee FL 34758-3308
Phone: (407) 572-8862
Fax: (407) 572-8863
Website:
Map and Directions
Authorized official contact:
Name: Rivera Soler, Ivan A Doctor of Medicine (MD)
Phone: (407) 572-8862

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X ACN241 Florida

Profile Details

NPI number 1871923037
LBN Legal business name Poinciana Medical Clinic
DBA Doing business as
Authorized official Rivera Soler, Ivan A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 25th, 2013
Last updated Jul 21st, 2014 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871923037 NPPES
Florida MEDICAID 001456400

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