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Export Provider Record NPI 1043873342
Primary Care Medical Services Of Poinciana, Inc.
Organization Subpart: YES
Active
NPI Number1043873342
NPI TypeNPI-2 Organization
SpecialtyCommunity/Behavioral Health
Provider Details
NPI1043873342
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2019-04-22
Last Updated2023-10-19
Authorized OfficialBelinda Johnson-Cornett
CEO
Phone: 4079438600
Mailing Address1877 Fortune Rd
Kissimmee, FL 34744-4428
United States
Phone: (407) 943-8600 | Fax: (407) 932-5140
📍 View Map
Primary Practice Address1501-1507 Bill Beck Blvd
Kissimmee, FL 34744
United States
Phone: (407) 943-8600
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No261QF0400X – Clinic/Center, Federally Qualified Health Center (FQHC)
Yes251S00000X – Community/Behavioral Health
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About NPI 1043873342

Primary Care Medical Services Of Poinciana, Inc. is an organization registered in the CMS NPPES NPI Registry with NPI number 1043873342. The primary specialty listed is Community/Behavioral Health. The organization is located in Kissimmee, FL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2019-04-22. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1043873342?

NPI 1043873342 belongs to Primary Care Medical Services Of Poinciana, Inc., a Community/Behavioral Health in Kissimmee, FL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1043873342 active?

The current status of NPI 1043873342 in the NPPES registry is Active. The record was last updated on 2023-10-19.

What specialty is NPI 1043873342?

NPI 1043873342 is classified under the taxonomy Community/Behavioral Health. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1043873342?

You can verify NPI 1043873342 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1043873342?

The primary practice address on file for NPI 1043873342 is 1501-1507 Bill Beck Blvd, Kissimmee, FL 34744. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1043873342 issued?

NPI 1043873342 was first issued (enumerated) on 2019-04-22. The NPPES record was last updated on 2023-10-19.

Practice Location Map

Primary Care Medical Services Of Poinciana, Inc. is located at 1501-1507 Bill Beck Blvd, Kissimmee, FL. Use the map below to find directions or verify the practice location.

📍 1501-1507 Bill Beck Blvd, Kissimmee, FL 34744  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Primary Care Medical Services Of Poinciana, Inc.. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-06-14 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162