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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
SYED SHAFEEQ UR RAHMAN M.D. (DOCTOR)
(407) 518-7700
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME86628
FL

Other

Enumeration date
11/17/2008
Last updated
04/21/2009
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