Kissimmee Diagnostic Center,LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

KISSIMMEE DIAGNOSTIC CENTER,LLC

Practice address

301 N John Young Pkwy
Kissimmee, FL 34741-4901

Phone

(407) 963-6454

NPI assigned

Nov 3, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maricelis Morales, M.D.

Title

President

Phone

(407) 963-6454

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1478131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478131200000",
    "number": "1053863373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N JOHN YOUNG PKWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414901",
            "telephone_number": "407-963-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N JOHN YOUNG PKWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414901",
            "telephone_number": "407-963-6454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KISSIMMEE DIAGNOSTIC CENTER,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-03",
        "last_updated": "2016-11-03",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "MARICELIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-963-6454",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Kirby
• Patricia Evadne Kirschner, P.T.A.
• Kissimmee Assisted Living LLC
• Kissimmee Chiropractic Center and Rehab Inc
• Kissimmee Dental Associates PA
• Kissimmee Endoscopy Center
• Kissimmee Endoscopy Center Associates, Inc
• Kissimmee Facility Operations LLC
• Kissimmee Family Dentistry, PLLC
• Kissimmee FL Opco LLC

• Diagnostic Radiology Physician in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.