Organization
AHP OF KISSIMMEE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRE DOBSON MD (MEDICAL DIRECTOR)
(770) 945-5330
Entity
Organization
Contact information
Practice address
715 OAK COMMONS BLVD, KISSIMMEE, FL 34741-4213
(407) 931-2816
Mailing address
DEPT 40187 PO BOX 740209, ATLANTA, GA 30374-0209
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
03/04/2008
Last updated
10/13/2009
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