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POINCIANA MEDICAL CLINIC
NPI 1871923037
General Practice in Kissimmee, FL

Active since November 25, 2013CLIA 10D2074820 · Waiver
51 N DOVERPLUM AVE, KISSIMMEE, FL 34758(407) 572-8862(407) 572-8863 Get Directions Write a Review

NPPES record last updated: July 21, 2014. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Poinciana Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POINCIANA MEDICAL CLINIC (NPI 1871923037) is a healthcare organization registered as a general practice in Kissimmee, Florida and active in the NPI registry since November 2013. The organization holds a CLIA Waiver certificate valid through March 16, 2028 and lists Ivan A Rivera Soler, Md, as its authorized official.

NPPES Registry Identity

NPI1871923037
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePOINCIANA MEDICAL CLINIC
Location Address51 N DOVERPLUM AVEKissimmee, FL 34758-3308
Mailing Address51 N Doverplum AveKissimmee, FL 34758-3308 · (407) 572-8862 · Fax (407) 572-8863
Phone(407) 572-8862
Fax(407) 572-8863
Organization SubpartNo
Authorized OfficialIvan A Rivera SolerMd · (407) 572-8862
Enumeration DateNovember 25, 2013
Last NPPES UpdateJuly 21, 2014
✔ NPI 1871923037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · ACN241
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
51 N DOVERPLUM AVE, Kissimmee, FL 34758
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Other Identifiers 2

Medicare UPINCO009XFL
Medicaid001456400FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Molina Healthcare and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2074820

Poinciana Medical Clinic · Kissimmee, FL
Active · expires Mar 16, 2028
CLIA Number10D2074820
Laboratory TypePhysician Office
Certificate Effective DateMarch 17, 2026
Certificate Expiration DateMarch 16, 2028
Laboratory DirectorEuladia Mercado
Laboratory Phone(407) 572-8862
Laboratory LocationPoinciana Medical Clinic51 N Doverplum Ave, Kissimmee, FL 34758
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUHAIL V COLON
Nurse Practitioner (Family)
51 N DOVERPLUM AVE
KISSIMMEE, FL 34758
Osceola County (407) 572-8862
MID FLORIDA MEDICAL SPECIALIST
Clinic/Center (Health Service)
51 N DOVERPLUM AVE
KISSIMMEE, FL 34758
Osceola County (407) 583-7130
DR. IVAN A RIVERA SOLER MD
General Practice
51 N DOVERPLUM AVE
KISSIMMEE, FL 34758
Osceola County (407) 572-8862
NORMA SANCHEZ GONZALEZ MD
General Practice
51 N DOVERPLUM AVE
KISSIMMEE, FL 34758
Osceola County (407) 752-8860

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Poinciana Medical Clinic's NPI number?

The NPI number for Poinciana Medical Clinic is 1871923037. It was assigned to this organization in the NPPES registry on November 25, 2013.

Where is Poinciana Medical Clinic located?

Poinciana Medical Clinic is located at 51 N Doverplum Ave, Kissimmee, FL 34758. The listed phone number is (407) 572-8862.

What is Poinciana Medical Clinic's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Poinciana Medical Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2074820) is associated with this NPI, valid through March 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Poinciana Medical Clinic accept?

Health plans from Ambetter Health, Ambetter of Alabama, Molina Healthcare and Wellpoint list Poinciana Medical Clinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Poinciana Medical Clinic was last updated on July 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.