Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Four Corners Medical Center, LLC

Organization Clinic/Center · NPI 1295678605

Four Corners Medical Center, LLC is a Clinic/Center in Davenport, Florida. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

106 Polo Park East Blvd
Davenport, FL 33897-9407
Phone: (863) 424-8900
Fax: (863) 424-8823
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1295678605
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Srinath Kosanam — President-Owner · (407) 844-7323
NPI enumeratedApril 10, 2026
Last updated in NPPESApril 10, 2026
Certification dateApril 10, 2026
Mailing address10603 Emerald Chase Dr, Orlando, FL 32836-5855

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