St Peter Medical Group Inc.

LBN: St Peter Medical Group Inc.
St Peter Medical Group Inc. is an health care organization with primary practice located at 339 Cypress Pkwy Ste 110 , Kissimmee FL 34759. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. St Peter Medical Group Inc. can be contacted via phone (407) 922-0240, or through Rivera-Irizarry, Miriam L via phone (407) 729-8173.

Contact Information

Primary practice address
339 Cypress Pkwy Ste 110 Kissimmee FL 34759
Phone: (407) 922-0240
Fax: (407) 343-5199
Website:
Map and Directions
Authorized official contact:
Name: Rivera-Irizarry, Miriam L Doctor of Medicine (MD)
Phone: (407) 729-8173

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1942795869
LBN Legal business name St Peter Medical Group Inc.
DBA Doing business as
Authorized official Rivera-Irizarry, Miriam L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2018
Last updated Sep 16th, 2024 - about 2 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 1942795869 NPPES
Florida MEDICAID 1356304828

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