Organization Active NPI

Florida Cosmetic Center LLC

  • Internal Medicine Physician
  • Kissimmee, FL
National Provider Identifier
1407325228
Registry record updated Nov 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Nov 21, 2018

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2180967Florida Cosmetic Center LLC1420 Celebration Blvd Suite 314, Celebration, FL 34747Certificate of waiverMar 23, 2028

National Provider Directory

National Provider Directory

Locations

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": []
}

Other providers in Kissimmee, FL

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.

Verify at the official NPI Registry.