Neighbormd of Kissimmee LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

NEIGHBORMD OF KISSIMMEE LLC

Practice address

595 Oak Commons Blvd Ste a
Kissimmee, FL 34741-4211

Phone

(321) 249-6954

NPI assigned

Oct 13, 2020

Organization subpart

No

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

Authorized official

Name

David Romanello, COO

Title

Manager Member

Phone

(352) 459-3661

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1992303812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 OAK COMMONS BLVD STE A",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414211",
            "telephone_number": "321-249-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 OAK COMMONS BLVD STE A",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414211",
            "telephone_number": "321-249-6954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORMD OF KISSIMMEE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-13",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A",
        "authorized_official_last_name": "ROMANELLO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER MEMBER",
        "authorized_official_telephone_number": "352-459-3661",
        "authorized_official_credential": "COO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Ismael Negron Santos, CRNA
• Arelis Negron
• Doris M Negron
• Hugo Negron
• Janice Negron
• Caitrien Jayne Neilson
• Manoucheka Nelcidor
• Jenny Calvar Nelson, M.A., L.M.H.C.
• Maryse Aurelus Nelson, PT
• Tracy Lee Nelson, P.T.

• Internal Medicine Physician in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.