Provider Demographics
NPI:1033977657
Name:PEOPLEONE HEALTH FLORIDA, LLC
Entity Type:Organization
Organization Name:PEOPLEONE HEALTH FLORIDA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF CLINICAL OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, RN, MSN
Authorized Official - Phone:937-477-7763
Mailing Address - Street 1:PO BOX 123
Mailing Address - Street 2:
Mailing Address - City:OAKMONT
Mailing Address - State:PA
Mailing Address - Zip Code:15139-0123
Mailing Address - Country:US
Mailing Address - Phone:800-330-6891
Mailing Address - Fax:
Practice Address - Street 1:831 SIMPSON RD
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34744-5328
Practice Address - Country:US
Practice Address - Phone:407-483-5757
Practice Address - Fax:855-642-2122
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PEOPLEONE HEALTH FLORIDA, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-03-08
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy