KISSIMMEE ENDOSCOPY CENTER ASSOCIATES, INC


Address: 715 Oak Commons Blvd, Kissimmee, FL 34741-4213
Phone: 4074630672

KISSIMMEE ENDOSCOPY CENTER ASSOCIATES, INC (NPI# 1366539629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366539629
Entity Type Organization
Organization Name KISSIMMEE ENDOSCOPY CENTER ASSOCIATES, INC
Practice Address 715 Oak Commons Blvd
Kissimmee
FL 34741-4213
Practice Telephone 4074630672
Practice Fax Number 4075812777
Mailing Telephone 4074630672
Mailing Fax Number 4075812777
Enumeration Date 2006-10-06
Last Update Date 2020-08-22
Authorized Official Name MR. SHAMUS M HOLT (ADMINISTRATOR)
Authorized Official Telephone 4074630672
Authorized Official Credential MBA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
1130 FL Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
FL AHCA ASC LICENSE # 1130 01

Office Location

Street Address 715 OAK COMMONS BLVD
City KISSIMMEE
State FL
Zip Code 34741-4213

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508856576 Sreenivasan Asokan Anesthesiology 715 Oak Commons Blvd, Kissimmee, FL 34741-4213 2005-10-21
1124567706 Osceola Gastroenterology Anesthesia Associates LLC Nurse Anesthetist, Certified Registered 715 Oak Commons Blvd, Kissimmee, FL 34741-4213 2017-02-16
1891965992 Ahp of Kissimmee LLC Nurse Anesthetist, Certified Registered 715 Oak Commons Blvd, Kissimmee, FL 34741-4213 2008-03-04
1639352347 The Kissimmee Fl Endoscopy Asc LLC Clinic/Center 715 Oak Commons Blvd, Kissimmee, FL 34741-4213 2007-12-17
1275658213 Independent Anesthesia Services Pa Anesthesiology 715 Oak Commons Blvd, Kissimmee, FL 34741-4213 2007-03-20
1477636470 Janice L Heller Nurse Anesthetist, Certified Registered 715 Oak Commons Blvd, Kissimmee, FL 34741-4213 2006-10-23
1508894296 Jaime M Rivera Internal Medicine 715 Oak Commons Blvd, Kissimmee, FL 34741-4213 2006-06-29
1194769836 Syed K Lateef Internal Medicine 715 Oak Commons Blvd, Kissimmee, FL 34741-4213 2006-06-15
1477595056 Kissimmee Endoscopy Center Clinic/Center 715 Oak Commons Blvd, Kissimmee, FL 34741-4213 2006-06-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083239834 Kathia I Torres Cintron Occupational Therapy Assistant 201 Park Place Blvd Kissimmee Fl 347, Kissimmee, FL 34741 2020-06-08
1992340046 Zynia Spencer Marriage & Family Therapist 345 W. Oak St., Kissimmee, FL 34741 2019-11-13
1225597784 Leila Rosado Counselor All Family, 120 Broadway Suite 204, Kissimmee, FL 34741 2019-03-14
1235610312 Yashirah Castillo Behavior Technician 230 Country Blvd, Apt 6, Kissimmee, FL 34741 2018-08-27
1376021352 Julio Cesar Castellanos Nurse Practitioner 1050 W Carroll St Apt 149, Kissimmee, FL 34741 2018-08-01
1245724715 Sonia Teresa Rodriguez Counselor 3438 W. Vine Street, Kissimmee, FL 34741 2018-06-19
1700376316 Jessica Mateo Social Worker 111 E Monument Ave Unit 412, Kissimmee, FL 34741 2018-05-18
1306340880 George Gianakakos Psychiatry & Neurology 720 W. Oak St., Suite 360, Kissimmee, FL 34741 2018-03-20
1154825693 Mary Catherine Slome Student in an Organized Health Care Education/Training Program 720 W. Oat Street, Ste. 201, Kissimmee, FL 34741 2018-03-20
1457855991 Sherwin Zachariah Thomas Student in an Organized Health Care Education/Training Program 720 W. Oak St., Ste 201, Kissimmee, FL 34741 2018-03-20
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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538122684 Kissimmee Surgicare Ltd Clinic/Center 2275 N Central Ave, Kissimmee, FL 34741-2342 2006-04-10
1639352347 The Kissimmee Fl Endoscopy Asc LLC Clinic/Center 715 Oak Commons Blvd, Kissimmee, FL 34741-4213 2007-12-17
1184675704 Doctors Surgery Center LLC Clinic/Center 921 N Main St, Kissimmee, FL 34744-4570 2006-05-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1396351102 University Medical Service Association Inc Clinic/Center 13330 Usf Laurel Dr Fl 2, Tampa, FL 33612-6601 2020-09-17
1437764321 Baptist Health Surgery Center, LLC Clinic/Center 1228 S Pine Island Rd Ste 220, Plantation, FL 33324-4402 2020-09-09
1538773890 Asc of Trinity Clinic/Center 15238 Virginia Station, Odessa, FL 33556 2020-09-03
1891309423 Kingsley Endoscopy Center LLC Clinic/Center 970 Kingsley Avenue, Orange Park, FL 32073 2020-09-01
1780292359 Gemini Ambulatory Surgical Center Incorporated Clinic/Center 7661 Lake Worth Rd, Lake Worth, FL 33467-2534 2020-07-20
1891312815 Sacred Heart Asc, LLC Clinic/Center 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 2020-06-26
1578188983 Miami Beach Surgery Center, LLC Clinic/Center 400 W 41st St Ste 512, Miami Beach, FL 33140-3517 2020-06-11
1346865078 Panhandle Outpatient Surgery Center Clinic/Center 1502 Creighton Rd Ste C, Pensacola, FL 32504-7143 2020-06-09
1033734793 Naples Suncoast Surgery Center LLC Clinic/Center 2500 Goodlette Frank Rd Ste 200, Naples, FL 34103-4608 2020-06-09
1710501879 Hz Surgery Center LLC Clinic/Center 17085 Porter Road, Suite 110, Winter Garden, FL 34787 2020-06-04
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Competitor

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City KISSIMMEE
Zip Code 34741

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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