| Central Florida Accident And Injury | |
|
17315 Pagonia Rd Ste 103 Clermont FL 34711-5956 | |
| (407) 344-4878 | |
| (407) 344-7878 |
| Full Name | Central Florida Accident And Injury |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 17315 Pagonia Rd Ste 103, Clermont, Florida |
| Authorized Official Name and Position | Thomas Patrick Entwistle (PHYSICIAN / OWNER) |
| Authorized Official Contact | 4073444878 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Florida Accident And Injury 1611 N Main St Kissimmee FL 34744-3304 Ph: (407) 344-4878 | Central Florida Accident And Injury 17315 Pagonia Rd Ste 103 Clermont FL 34711-5956 Ph: (407) 344-4878 |
| NPI Number | 1316232200 |
|---|---|
| Provider Enumeration Date | 06/18/2011 |
| Last Update Date | 03/04/2025 |
| Medicare PECOS PAC ID | 8527222025 |
|---|---|
| Medicare Enrollment ID | O20120613000563 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316232200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
| Provider Name | Thomas P Entwistle |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1528353497 PECOS PAC ID: 9234393737 Enrollment ID: I20120613000608 |
| Provider Name | Edward Patrick P Soriano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487848578 PECOS PAC ID: 6901996214 Enrollment ID: I20151215002635 |
| Provider Name | Melissa Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760809339 PECOS PAC ID: 0547648107 Enrollment ID: I20220609002813 |
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