| Osceola Community Health Services At Fortune Rd | |
|
1877 Fortune Rd Kissimmee FL 34744-4428 | |
| (407) 943-8600 | |
| (321) 250-3862 |
| Full Name | Osceola Community Health Services At Fortune Rd |
|---|---|
| Speciality | Clinic/Center |
| Location | 1877 Fortune Rd, Kissimmee, Florida |
| Authorized Official Name and Position | Belinda Johnson-cornett (CEO) |
| Authorized Official Contact | 4079438670 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Osceola Community Health Services At Fortune Rd 1877 Fortune Rd Kissimmee FL 34744-4428 Ph: (407) 943-8600 | Osceola Community Health Services At Fortune Rd 1877 Fortune Rd Kissimmee FL 34744-4428 Ph: (407) 943-8600 |
| NPI Number | 1376093609 |
|---|---|
| Provider Enumeration Date | 10/11/2016 |
| Last Update Date | 09/16/2022 |
| Medicare PECOS PAC ID | 4486923059 |
|---|---|
| Medicare Enrollment ID | O20181005000584 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376093609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Peter J Casella |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245200278 PECOS PAC ID: 2567411564 Enrollment ID: I20050118000031 |
| Provider Name | John K Fusselman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083711196 PECOS PAC ID: 4385693894 Enrollment ID: I20050121000266 |
| Provider Name | Marthilde Lambert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992069314 PECOS PAC ID: 7214182203 Enrollment ID: I20130222000439 |
| Provider Name | Anna Harris |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1487849600 PECOS PAC ID: 5092953265 Enrollment ID: I20130529000614 |
| Provider Name | Jose A Alvarez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497014765 PECOS PAC ID: 7113249749 Enrollment ID: I20150121001649 |
| Provider Name | Jasmine Natasha Raymond |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1891060414 PECOS PAC ID: 6901118207 Enrollment ID: I20150629002480 |
| Provider Name | Beatrice Aime Celian |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1285031948 PECOS PAC ID: 8022397512 Enrollment ID: I20161128002664 |
| Provider Name | Pojchawan Yampikulsakul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912287137 PECOS PAC ID: 5294950911 Enrollment ID: I20170713001845 |
| Provider Name | Teresita Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215392154 PECOS PAC ID: 7416201157 Enrollment ID: I20181114003607 |
| Provider Name | Vicky Arlene Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336798412 PECOS PAC ID: 8325474455 Enrollment ID: I20200207000912 |
| Provider Name | Yamilka Morales Pourani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316569858 PECOS PAC ID: 7214951680 Enrollment ID: I20200716002218 |
| Provider Name | Ebony Maynard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659797645 PECOS PAC ID: 1658766530 Enrollment ID: I20220310001894 |
| Provider Name | Melissa Santiago |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952955734 PECOS PAC ID: 2769848753 Enrollment ID: I20230517002010 |
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