Organization · Type 2 NPI
Kissimmee Primary Care Anti-Aging Wellness and Weight Loss Center PA
Adult Medicine Physician · Kissimmee, FL
NPI number
1396925574
Active
Practice location
1520 N John Young Pkwy
Kissimmee, FL 34741-3219
Fax (407) 518-7100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | None listed |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
3 other providers at this address
Other adult medicine physician providers in Kissimmee
About NPI 1396925574
Kissimmee Primary Care Anti-Aging Wellness and Weight Loss Center PA's National Provider Identifier is 1396925574, issued on Nov 6, 2007. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Kissimmee, FL. The record was last updated on Feb 16, 2009.