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Organization

KISSIMMEE PRIMARY CARE ANTI-AGING WELLNESS AND WEIGHT LOSS CENTER PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MOHAMED H GAJRAJ MD (PRESIDENT)
(407) 518-7700
Entity
Organization

Contact information

Practice address
1520 N JOHN YOUNG PKWY, KISSIMMEE, FL 34741-3219
(407) 518-7700
(407) 518-7100
Mailing address
1520 N JOHN YOUNG PKWY, KISSIMMEE, FL 34741-3219
(407) 518-7700
(407) 518-7100

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary

Other

Enumeration date
11/06/2007
Last updated
02/16/2009
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