Chamber Of Medicine P.a. | |
327 W Cypress St Kissimmee FL 34741 | |
(407) 483-0672 | |
Not Available |
Full Name | Chamber Of Medicine P.a. |
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Speciality | Clinic/Center |
Location | 327 W Cypress St, Kissimmee, Florida |
Authorized Official Name and Position | Aziz Imtiaz (PROPREITER) |
Authorized Official Contact | 8634191428 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Chamber Of Medicine P.a. 327 W Cypress St Kissimmee FL 34741-3326 Ph: (863) 419-1428 | Chamber Of Medicine P.a. 327 W Cypress St Kissimmee FL 34741 Ph: (407) 483-0672 |
NPI Number | 1346472446 |
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Provider Enumeration Date | 08/22/2009 |
Last Update Date | 04/03/2020 |
Medicare PECOS PAC ID | 0941343495 |
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Medicare Enrollment ID | O20100205000091 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346472446 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | ME-100789 (Florida) | Primary |
Provider Name | Kashan Khan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497959886 PECOS PAC ID: 3173688835 Enrollment ID: I20090211000822 |
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