WMC Health Group of Kissimmee

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

ME66407 Issued in FL

Legal business name

WMC HEALTH GROUP OF KISSIMMEE

Practice address

3208 N John Young Pkwy
H27
Kissimmee, FL 34741-7549

Phone

(305) 692-9009

Fax

(305) 501-4220

NPI assigned

Apr 29, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Carlos A Pedraja

Title

Chief Operating Officer

Phone

(305) 692-9009

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461888000000",
    "number": "1992150718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 NE MIAMI GARDENS DR",
            "address_2": "SUITE 210",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331794707",
            "telephone_number": "305-692-9009",
            "fax_number": "305-501-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 N JOHN YOUNG PKWY",
            "address_2": "H27",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417549",
            "telephone_number": "305-692-9009",
            "fax_number": "305-501-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WMC HEALTH GROUP OF KISSIMMEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-29",
        "last_updated": "2016-04-29",
        "status": "A",
        "authorized_official_last_name": "PEDRAJA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "305-692-9009",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "ME66407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald George Winters, M.S., LMHC, LMFT
• Joanna Wirth, RN
• Maliyah Renae Wiseman
• Corri Witt
• Hunter Wittholt, DO
• Holly Dannielle Wolcott
• Cassidy L Wolf
• Desiree Nicole Wolf
• John Wolf, L.M.H.C.
• Jordan Alexander Wolf, D.C.

• Adult Medicine Physician in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Adult Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; 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.