Organization
EBENEZER MEDICAL CENTER ORLANDO CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAITE JIMENEZ (OWNER)
(305) 491-3969
Entity
Organization
Contact information
Practice address
845 E OAK STREET, KISSIMMEE, FL 34744-5838
(407) 343-1278
(888) 498-3604
Mailing address
845 E OAK STREET, KISSIMMEE, FL 34744-5838
(407) 343-1278
(888) 498-3604
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/12/2022
Last updated
01/24/2023
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