Kissimmee Endoscopy Center
Clinic/Center, Endoscopy in Kissimmee, FL. Organization (NPI-2).
NPI number1477595056
StatusActive
Last updated in NPPESOct 2, 2007
Details
- NPI
- 1477595056
- Entity type
- Organization (NPI-2)
- Legal business name
- Kissimmee Endoscopy Center
- Organization subpart
- No
- Enumeration date
- Jun 11, 2006
- Last updated
- Oct 2, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0800X | Clinic/Center, Endoscopy | 1130 | FL | Yes |
Practice location
715 Oak Commons BlvdKissimmee, FL 34741-4213
Phone 407-931-2816 · Fax 407-931-3485
Mailing address
715 Oak Commons BlvdKissimmee, FL 34741-4213
Phone 407-931-2816 · Fax 407-931-3485
Authorized official
Christopher A Holden
Chief Manger Of LLC
6156651283
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