Poinciana Healthcare Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

POINCIANA HEALTHCARE INC

Practice address

4693-A Old Pleasant Hill Road
Kissimmee, FL 34759

Phone

(407) 933-0305

NPI assigned

May 31, 2022

Organization subpart

No

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

Authorized official

Name

Raymond Levy

Title

President

Phone

(305) 252-9485

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1831838770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9780 E INDIGO ST STE 202",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331575610",
            "telephone_number": "305-252-9485",
            "fax_number": "305-252-9486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4693-A OLD PLEASANT HILL ROAD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "34759",
            "telephone_number": "407-933-0305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POINCIANA HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-17",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-252-9485"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PM Pediatrics PA
• Jill N Poffenbaugh, BSW
• Roberto Arturo Pohlenz-McBeath
• Poinciana Behavioral Health Clinic, Inc.
• Poinciana Chiropractic & Injury Center, PLLC
• Poinciana Med Equipment LLC
• Poinciana Medical Center, Inc. (HCA Florida Poinciana Hospital)
• Poinciana Medical Clinic
• Poinciana Medical Equipment
• Poinciana Medical Supplies LLC

• General Practice Physician in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.