OrganizationActive
Four Corners Medical Center, LLC
NPI 1295678605 · Clinic/Center · Davenport, FL
Four Corners Medical Center, LLC is a Clinic/Center organization in Davenport, FL (NPI 1295678605).
Provider details
- NPI number
- 1295678605
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Srinath Kosanam, President-Owner(407) 844-7323
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
106 Polo Park East Blvd
Davenport, FL 33897-9407
Phone: (863) 424-8900
Fax: (863) 424-8823
Street-level locationGet directions
Mailing address
10603 Emerald Chase Dr
Orlando, FL 32836-5855
Registry dates
- Enumerated
- 2026-04-10
- Last updated
- 2026-04-10
- Certified
- 2026-04-10
Frequently asked questions
- What is Four Corners Medical Center, LLC's NPI number?
- Four Corners Medical Center, LLC's National Provider Identifier (NPI) is 1295678605, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Four Corners Medical Center, LLC?
- Four Corners Medical Center, LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Four Corners Medical Center, LLC located?
- Four Corners Medical Center, LLC's practice location on file with NPPES is 106 Polo Park East Blvd, Davenport, FL 33897-9407.
- What is Four Corners Medical Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Four Corners Medical Center, LLC is (863) 424-8900.
- Who is the authorized official for Four Corners Medical Center, LLC?
- The authorized official listed on Four Corners Medical Center, LLC's NPPES record is Srinath Kosanam, President-Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Four Corners Medical Center, LLC's NPI active?
- Yes — Four Corners Medical Center, LLC's NPI (1295678605) is active in the NPPES registry as of the last update on 2026-04-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.