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KISSIMMEE PRIMARY CARE/ ANTI-AGING WELLNESS AND WEIGHT LOSS CENTER PA NPI 1528212651


NPI Information

NPI: 1528212651
Provider Name: KISSIMMEE PRIMARY CARE/ ANTI-AGING WELLNESS AND WEIGHT LOSS CENTER PA
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1520 N. JOHN YOUNG PARKWAY
KISSIMMEE, FL
ZIP 34741
Phone: (407) 518-7700
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KISSIMMEE PRIMARY CARE/ ANTI-AGING WELLNESS AND WEIGHT LOSS CENTER PA 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 KISSIMMEE PRIMARY CARE/ ANTI-AGING WELLNESS AND WEIGHT LOSS CENTER PA NPI is 1528212651. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1520 N. JOHN YOUNG PARKWAY
KISSIMMEE, FL
ZIP 34741-219
Phone: (407) 518-7700
Fax: (407) 518-7100

The provider's authorized official is Syed Shafeeq Ur Rahman .
The authorized official title is Doctor and has the following contact phone number (407) 518-7700.

The enumeration date for this NPI number is 11/17/2008 and was last updated on 4/21/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeME86628FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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