Organization
KISSIMMEE MEDICAL SPECIALTIES P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YOLANDA PEREZ (OFFICE MANAGER)
(407) 944-0277
Entity
Organization
Contact information
Practice address
701 E OAK ST, SUITE A, KISSIMMEE, FL 34744-4575
(407) 944-0277
(407) 870-9277
Mailing address
701 E OAK ST, SUITE A, KISSIMMEE, FL 34744-4575
(407) 944-0277
(407) 870-9277
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
M37804
FL
Other
Enumeration date
08/18/2008
Last updated
09/09/2008
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