| Opm | |
|
3229 Hillsdale Ln Kissimmee FL 34741-7561 | |
| (407) 933-7119 | |
| Not Available |
| Full Name | Opm |
|---|---|
| Speciality | Internal Medicine |
| Location | 3229 Hillsdale Ln, Kissimmee, Florida |
| Authorized Official Name and Position | Mark J Round (PRESIDENT) |
| Authorized Official Contact | 4079337119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Opm 3229 Hillsdale Ln Kissimmee FL 34741-7561 Ph: (407) 933-7119 | Opm 3229 Hillsdale Ln Kissimmee FL 34741-7561 Ph: (407) 933-7119 |
| NPI Number | 1295930592 |
|---|---|
| Provider Enumeration Date | 06/18/2007 |
| Last Update Date | 03/03/2026 |
| Certification Date | 03/03/2026 |
| Medicare PECOS PAC ID | 6800827981 |
|---|---|
| Medicare Enrollment ID | O20050829000519 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295930592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME 62413 (Florida) | Primary |
| Provider Name | Mark J Round |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265477640 PECOS PAC ID: 5890726970 Enrollment ID: I20050829000952 |
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