Organization Active NPI

Kingdom Come Enterprises Inc

  • General Practice Physician
  • Kissimmee, FL
National Provider Identifier
1952770752
Registry record updated Sep 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
OS10148 Issued in FL
Legal business name
KINGDOM COME ENTERPRISES INC
Practice address
2509 Oak Run Blvd
Kissimmee, FL 34744-3019
Phone
(321) 443-7570
Fax
(407) 681-4603
NPI assigned
Sep 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2015

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

Authorized official

Name
Dr. Ismael A Beloso, D.O.
Title
Owner
Phone
(321) 443-7570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X OS10148 FL Primary

Addresses

Primary practice location

2509 Oak Run Blvd
Kissimmee, FL 34744-3019

Mailing address

2509 Oak Run Blvd
Kissimmee, FL 34744-3019
Phone (321) 443-7570

Other identifiers 1

IdentifierTypeStateIssuer
OS10148OtherFLPROFESSIONAL LICENSE

National Provider Directory

National Provider Directory

Locations

1750 W Broadway St
Ste 101
Oviedo, FL 32765
Phone (321) 443-7570

NPI Registry JSON

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442880000000",
    "number": "1952770752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 OAK RUN BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347443019",
            "telephone_number": "321-443-7570",
            "fax_number": "407-681-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 OAK RUN BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347443019",
            "telephone_number": "321-443-7570",
            "fax_number": "407-681-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM COME ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-22",
        "last_updated": "2015-09-22",
        "status": "A",
        "authorized_official_last_name": "BELOSO",
        "authorized_official_first_name": "ISMAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-443-7570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "OS10148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "OS10148",
            "state": "FL"
        }
    ],
    "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 Sep 22, 2015; 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.