| Kissimmee Primary Care Anti-aging Wellness And Weight Loss Center Pa | |
|
1520 N John Young Pkwy Kissimmee FL 34741-3219 | |
| (407) 518-7700 | |
| (407) 518-7100 |
| Full Name | Kissimmee Primary Care Anti-aging Wellness And Weight Loss Center Pa |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 1520 N John Young Pkwy, Kissimmee, Florida |
| Authorized Official Name and Position | Mohamed H Gajraj (PRESIDENT) |
| Authorized Official Contact | 4075187700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kissimmee Primary Care Anti-aging Wellness And Weight Loss Center Pa 1520 N John Young Pkwy Kissimmee FL 34741-3219 Ph: (407) 518-7700 | Kissimmee Primary Care Anti-aging Wellness And Weight Loss Center Pa 1520 N John Young Pkwy Kissimmee FL 34741-3219 Ph: (407) 518-7700 |
| NPI Number | 1396925574 |
|---|---|
| Provider Enumeration Date | 11/06/2007 |
| Last Update Date | 02/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396925574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
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