Active NPI
Florida Cosmetic Center LLC
- Internal Medicine Physician
- Kissimmee, FL
National Provider Identifier
1407325228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- FLORIDA COSMETIC CENTER LLC
- Practice address
- 1420 Celebration Blvd Ste 314
Kissimmee, FL 34747-5161 - Phone
- (407) 922-2421
- Fax
- (321) 939-4069
- NPI assigned
- Nov 21, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Arash G Pasha, MD
- Title
- MD/ Owner
- Phone
- (407) 922-2421
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1420 Celebration Blvd Ste 314
Kissimmee, FL 34747-5161
Mailing address
1420 Celebration Blvd Ste 314
Kissimmee, FL 34747-5161
Phone (407) 922-2421
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2180967 | Florida Cosmetic Center LLC | Certificate of waiver | Mar 23, 2028 |
National Provider Directory
National Provider DirectoryLocations
1420 Celebration Blvd
Ste 314
Kissimmee, FL 34747
Phone (407) 922-2421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1542758400000",
"number": "1407325228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 CELEBRATION BLVD STE 314",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347475161",
"telephone_number": "407-922-2421",
"fax_number": "321-939-4069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 CELEBRATION BLVD STE 314",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347475161",
"telephone_number": "407-922-2421",
"fax_number": "321-939-4069"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLORIDA COSMETIC CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-21",
"last_updated": "2018-11-21",
"status": "A",
"authorized_official_last_name": "PASHA",
"authorized_official_first_name": "ARASH",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "MD/ OWNER",
"authorized_official_telephone_number": "407-922-2421",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Florida Department of Health
- Florida Dialysis Center of Celebration LLC
- Florida Em-I Medical Services, PA
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.