Organization
HUMANITARY MEDICAL CENTER KISSIMMEE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIECER GONZALEZ (PRESIDENT)
(813) 468-1866
Entity
Organization
Contact information
Practice address
1507 N JOHN YOUNG PKWY, KISSIMMEE, FL 34741-3214
(407) 288-8850
(407) 214-1333
Mailing address
3109 W DR MARTIN LUTHER KING JR BLVD STE 121, TAMPA, FL 33607-6240
(813) 708-1313
(813) 945-3771
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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