Healthcare Provider Details

I. General information

NPI: 1033977657
Provider Name (Legal Business Name): PEOPLEONE HEALTH FLORIDA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2024
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

831 SIMPSON RD
KISSIMMEE FL
34744-5328
US

IV. Provider business mailing address

PO BOX 123
OAKMONT PA
15139-0123
US

V. Phone/Fax

Practice location:
  • Phone: 407-483-5757
  • Fax: 855-642-2122
Mailing address:
  • Phone: 800-330-6891
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RACHEL IMHOFF
Title or Position: DIRECTOR OF CLINICAL COMPLIANCE
Credential:
Phone: 888-330-6891