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KISSIMMEE PHYSICIAN'S CLINIC NPI 1831364959


NPI Information

NPI: 1831364959
Provider Name: KISSIMMEE PHYSICIAN'S CLINIC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
801 W OAK ST
SUITE # 203
KISSIMMEE, FL
ZIP 34741
Phone: (407) 935-0566
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KISSIMMEE PHYSICIAN'S CLINIC is a clinic center in Kissimmee, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). KISSIMMEE PHYSICIAN'S CLINIC NPI is 1831364959. The provider is registered as an organization entity type.

The provider's business location address is:

801 W OAK ST
SUITE # 203
KISSIMMEE, FL
ZIP 34741-614
Phone: (407) 935-0566
Fax: (407) 935-1202

The provider's authorized official is Juan Carlos Richards .
The authorized official title is Owner and has the following contact phone number (407) 935-9566.

The enumeration date for this NPI number is 4/29/2008 and was last updated on 4/29/2008.


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
1261Q00000XClinic/CenterME25252FLORIDAYes

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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