Kissimmee Medical Specialties P a

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

M37804 Issued in FL

Legal business name

KISSIMMEE MEDICAL SPECIALTIES P A

Practice address

701 E Oak St
Suite a
Kissimmee, FL 34744-4575

Phone

(407) 944-0277

Fax

(407) 870-9277

NPI assigned

Aug 18, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Yolanda Perez

Title

Office Manager

Phone

(407) 944-0277

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1386890721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E OAK ST",
            "address_2": "SUITE A",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444575",
            "telephone_number": "407-944-0277",
            "fax_number": "407-870-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E OAK ST",
            "address_2": "SUITE A",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444575",
            "telephone_number": "407-944-0277",
            "fax_number": "407-870-9277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KISSIMMEE MEDICAL SPECIALTIES P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "407-944-0277",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "FL",
            "license": "M37804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kissimmee Health Care Associates LLC (Keystone Rehabilitation and Health Center)
• Kissimmee Injury Clinic LLC
• Kissimmee Limits Rehabilitation Center, LLC
• Kissimmee Med Supply LLC
• Kissimmee Medical Center PA
• Kissimmee Medical Supply
• Kissimmee Modern Dentistry, PA
• Kissimmee Nephrology & Hypertension, PA
• Kissimmee Nephrology & Hypertension, PA
• Kissimmee Nursing and Rehabilitation Center by Harborview LLC

• Legal Medicine in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Legal Medicine in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.