OrganizationActive
Physician Next Door
NPI 1952768582 · Health Maintenance Organization · Kissimmee, FL
Provider details
- NPI number
- 1952768582
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Parent organization
- Physician Next Door
- Organization subpart
- Yes
- Authorized official
- Jackie Fuentes, Billing Manager(786) 546-3714
Specialties & taxonomies
Managed Care Organizations
- Point of Service305S00000X
Managed Care Organizations
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES 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
339 Cypress Pkwy Ste 110
Kissimmee, FL 34759-3315
Phone: (407) 343-0542
Approximate (ZIP-level) locationGet directions
Mailing address
1969 S Alafaya Trl # 128
Orlando, FL 32828-8732
Other names (DBA / former)
- Doing business as
- Physician Next Door Poinciana
Registry dates
- Enumerated
- 2016-01-27
- Last updated
- 2016-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.