| La Majesty Health Care Llc | |
|
1674 Pleasant Hill Rd Kissimmee FL 34746-3954 | |
| (407) 350-4840 | |
| (407) 350-5806 |
| Full Name | La Majesty Health Care Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1674 Pleasant Hill Rd, Kissimmee, Florida |
| Authorized Official Name and Position | Willy Noel (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9514615981 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| La Majesty Health Care Llc 1674 Pleasant Hill Rd Kissimmee FL 34746-3954 Ph: (407) 350-4840 | La Majesty Health Care Llc 1674 Pleasant Hill Rd Kissimmee FL 34746-3954 Ph: (407) 350-4840 |
| NPI Number | 1093264202 |
|---|---|
| Provider Enumeration Date | 09/28/2016 |
| Last Update Date | 05/13/2021 |
| Medicare PECOS PAC ID | 1557619194 |
|---|---|
| Medicare Enrollment ID | O20180730002661 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093264202 | NPI | - | NPPES |
| 003817200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| Provider Name | Willy Noel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619176583 PECOS PAC ID: 2264601459 Enrollment ID: I20110804000038 |
| Provider Name | Andrea Cummings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457900904 PECOS PAC ID: 3072948629 Enrollment ID: I20230428001343 |
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