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General NPI Number Information
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NPI Number | 1235098658
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Entity Type | Organization
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Legal Business Name | FLORIDA CARE MEDICAL CENTER INC
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Dates
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Enumeration Date | 01/21/2026
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 720 OAK COMMONS BLVD
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City | KISSIMMEE
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State | FL
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Zip | 34741-4100
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Country | US
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Telephone | 407-842-8283
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Fax | 407-603-8285
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Provider Business Mailing Address
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Address Line | 7200 CURRY FORD RD
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City | ORLANDO
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State | FL
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Zip | 32822-5806
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Country | US
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Telephone | 407-842-8283
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Fax | 407-603-8285
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Authorized Official
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Title or Position | OWNER
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Name | PEDRO ENRIQUE LASTRES HERNANDEZ
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Credential |
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Telephone | 786-558-5772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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