Poinciana Health Corp.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

POINCIANA HEALTH CORP.

Practice address

5804 Stirling Rd
Space 3
Hollywood, FL 33021-1527

Phone

(954) 989-2629

Fax

(305) 989-2629

NPI assigned

Jul 14, 2006

Organization subpart

No

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

Authorized official

Name

Lissette Alvarez

Title

President

Phone

(954) 989-2628

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962428755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5804 STIRLING RD",
            "address_2": "SPACE 3",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330211527",
            "telephone_number": "954-989-2629",
            "fax_number": "305-989-2629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5804 STIRLING RD",
            "address_2": "SPACE 3",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330211527",
            "telephone_number": "954-989-2629",
            "fax_number": "305-989-2629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POINCIANA HEALTH CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "LISSETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-989-2628"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.