Ivps Of Kissimmee
Specialist in Kissimmee, FL. Organization (NPI-2).
NPI number1457702425
StatusActive
Last updated in NPPESJun 30, 2016
Details
- NPI
- 1457702425
- Entity type
- Organization (NPI-2)
- Legal business name
- Ivps Of Kissimmee
- Organization subpart
- No
- Enumeration date
- Jun 30, 2016
- Last updated
- Jun 30, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | FL | Yes |
Practice location
201 Ruby Ave Ste CKissimmee, FL 34741-5699
Phone 772-546-9591
Mailing address
8929 Se Bridge RdHobe Sound, FL 33455-5312
Phone 772-546-9591
Authorized official
Jeneane Wakula
Office Manager
7725469591
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All 51 Specialist providers in Kissimmee · All 7,630 providers in Kissimmee
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