MEDICARE: POINCIANA MEDICAL CENTER, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QE0002X	Emergency Care Clinic/Center

General Provider Information

NPI Number	:	1467398289
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	POINCIANA MEDICAL CENTER, INC.

Provider Business Mailing Address
First Line	:	36810 US HWY 27 N
Second Line	:
City	:	HAINES CITY
State	:	FL
Zip	:	33844-2302
Country	:	US
Telephone Number	:	863-695-7400
Fax Number	:

Provider Business Practice Location Address
First Line	:	36810 US HWY 27 N
Second Line	:
City	:	HAINES CITY
State	:	FL
Zip	:	33844-2302
Country	:	US
Telephone Number	:	863-695-7400
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MORRIS CULLEN BROWN
Credential	:
Telephone Number	:	951-788-3150

Provider Enumeration Date	:	04/24/2026
Last Update Date	:	04/24/2026

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Directions to “POINCIANA MEDICAL CENTER, INC. ” Practice Location

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