OrganizationMinuteclinic Diagnostic Of Florida LlcNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address12280 Lake Underhill Rd, Orlando, FL 32825-5009(401) 866-2727(866) 389-2727PECOS EnrollmentBased on the most recent information from CMS, provider Minuteclinic Diagnostic Of Florida Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1073780730Provider TypeOrganizationFull NameMinuteclinic Diagnostic Of Florida LlcSubpartYesEnumeration Date5/13/2008Last Updated12/8/2020Contact InformationPractice LocationPractice Address12280 Lake Underhill Rd, Orlando, FL 32825-5009Phone(401) 866-2727FaxUnlisted FaxMailing LocationMailing AddressPO Box 772, Minuteclinic Credentialing-Mc2295, Woonsocket, RI 02895-0784Phone(866) 389-2727Fax(401) 406-3539Authorized OfficialNamePincince, Deborah (Administrator)Phone(401) 770-3813Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted IssuerCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer