| Kissimmee Primary Care-anti-aging Wellness And Weightloss 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 Weightloss Center Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1520 N John Young Pkwy, Kissimmee, Florida |
| Authorized Official Name and Position | Saeed Ahmad (OWNER) |
| Authorized Official Contact | 4075187700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kissimmee Primary Care-anti-aging Wellness And Weightloss Center Pa 1520 N John Young Pkwy Kissimmee FL 34741-3219 Ph: (407) 518-7700 | Kissimmee Primary Care-anti-aging Wellness And Weightloss Center Pa 1520 N John Young Pkwy Kissimmee FL 34741-3219 Ph: (407) 518-7700 |
| NPI Number | 1952617276 |
|---|---|
| Provider Enumeration Date | 08/24/2010 |
| Last Update Date | 05/25/2011 |
| Medicare PECOS PAC ID | 2264590009 |
|---|---|
| Medicare Enrollment ID | O20090211000748 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952617276 | NPI | - | NPPES |
| 002735000 | Medicaid | FL | |
| 001UV | Other | FL | BCBS OF FLORIDA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 207R0000X (Florida) | Primary |
| Provider Name | Saeed Ahmad |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1336150432 PECOS PAC ID: 5092802892 Enrollment ID: I20071025000454 |
| Provider Name | Aisha S Idrees |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316198039 PECOS PAC ID: 5395921159 Enrollment ID: I20110512000746 |
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