EBENEZER MEDICAL CENTER ORLANDO CORP. is a general practice in Kissimmee, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Source: National Uniform Claim Committee EBENEZER MEDICAL CENTER ORLANDO CORP. NPI is 1265178131. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
845 E OAK STREET
KISSIMMEE, FL
ZIP 34744-838
Phone: (407) 343-1278
Fax: (888) 498-3604
The provider's authorized official is Maite Jimenez .
The authorized official title is Owner and has the following contact phone number (305) 491-3969.
The CLIA number assigned to this NPI record is 10D2275504 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/12/2022 and was last updated on 1/24/2023.