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


Address: 1520 N. John Young Parkway, Kissimmee, FL 34741-3219
Phone: 4075187700

KISSIMMEE PRIMARY CARE/ ANTI-AGING WELLNESS AND WEIGHT LOSS CENTER PA (NPI# 1528212651) 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) 1528212651
Entity Type Organization
Organization Name KISSIMMEE PRIMARY CARE/ ANTI-AGING WELLNESS AND WEIGHT LOSS CENTER PA
Practice Address 1520 N. John Young Parkway
Kissimmee
FL 34741-3219
Practice Telephone 4075187700
Practice Fax Number 4075187100
Mailing Telephone 4075187700
Mailing Fax Number 4075187100
Enumeration Date 2008-11-17
Last Update Date 2009-04-21
Authorized Official Name SYED SHAFEEQ UR RAHMAN (DOCTOR)
Authorized Official Telephone 4075187700
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice ME86628 FL Allopathic & Osteopathic Physicians

Office Location

Street Address 1520 N. JOHN YOUNG PARKWAY
City KISSIMMEE
State FL
Zip Code 34741-3219

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 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326658899 Fabian Alexander Turushina Montano General Practice 124 Pine Island Cir, Kissimmee, FL 34743-8170 2020-08-08
1346876497 Heloisa Souza Leon General Practice 2951 Tindall Acres Rd, Kissimmee, FL 34744-9235 2020-03-20
1952871964 Digital Noema General Practice 501 E Oak St Ste F, Kissimmee, FL 34744-4554 2018-12-03
1871959650 Shagufta Abbas General Practice 4503 Saint Georges Ct, Kissimmee, FL 34746-5860 2016-01-08
1952770752 Kingdom Come Enterprises Inc General Practice 2509 Oak Run Blvd, Kissimmee, FL 34744-3019 2015-09-22
1861886608 Michael J Thrasher General Practice 1001 W Cherry St Ste A, Kissimmee, FL 34741-4111 2015-03-18
1578990438 Rafael Martinez General Practice 2559 E Irlo Bronson Memorial Hwy, Kissimmee, FL 34744 2013-10-08
1992022560 The Biltmore Group LLC General Practice 445 W Oak St, Kissimmee, FL 34741-6627 2010-04-22
1811139520 Leomaris A Trujillo Santiago General Practice 222 Broadway Unit 202, Kissimmee, FL 34741-5760 2009-03-26
1912171380 Kun Ming Chang General Practice 3501 W Vine St Ste 226, Kissimmee, FL 34741-4633 2008-04-16
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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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