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FAMILY MEDICINE AT KISSIMMEE LLC NPI 1740731595


NPI Information

NPI: 1740731595
Provider Name: FAMILY MEDICINE AT KISSIMMEE, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1975 S JOHN YOUNG PKWY
KISSIMMEE, FL
ZIP 34741
Phone: (321) 270-7751
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FAMILY MEDICINE AT KISSIMMEE, LLC is a family medicine in Kissimmee, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FAMILY MEDICINE AT KISSIMMEE, LLC NPI is 1740731595. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1975 S JOHN YOUNG PKWY
KISSIMMEE, FL
ZIP 34741-603
Phone: (321) 270-7751
Fax: (321) 732-8440

The provider's authorized official is Michael Williams .
The authorized official title is Owner and has the following contact phone number (321) 270-7751.

The enumeration date for this NPI number is 10/17/2016 and was last updated on 10/17/2016.


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
1207Q00000XFamily MedicineYes

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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