Prevention Medical Services USA LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PREVENTION MEDICAL SERVICES USA LLC

Practice address

4545 Pleasant Hill Rd Ste 112
Kissimmee, FL 34759-3400

Phone

(407) 201-7041

Fax

(407) 201-8082

NPI assigned

Mar 7, 2019

Organization subpart

Yes

Parent organization

PREVENTION MEDICAL SERVICES USA LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jose A Badillo Hernandez, MD

Title

President

Phone

(407) 201-7041

Specialties & licenses 1

Addresses

Part of

Prevention Medical Services USA LLC

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551916800000",
    "number": "1215495346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 PLEASANT HILL RD STE 112",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347593400",
            "telephone_number": "407-201-7041",
            "fax_number": "407-201-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 PLEASANT HILL RD STE 112",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347593400",
            "telephone_number": "407-201-7041",
            "fax_number": "407-201-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTION MEDICAL SERVICES USA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREVENTION MEDICAL SERVICES USA LLC",
        "enumeration_date": "2019-03-07",
        "last_updated": "2019-03-07",
        "status": "A",
        "authorized_official_last_name": "BADILLO HERNANDEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-201-7041",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.