Kissimmee Primary Care/ Anti-Aging Wellness and Weight Loss Center PA

NPI #1528212651 in Kissimmee, Florida

Provider Information

NPI Number: 1528212651
Entity Type: Organization
Organization Name: Kissimmee Primary Care/ Anti-Aging Wellness and Weight Loss Center PA
Primary Specialty: General Practice
Enumeration Date: Nov 17, 2008
Last Updated: Apr 21, 2009

Practice Location

Address: 1520 N. JOHN YOUNG PARKWAY
City: Kissimmee
State: Florida
ZIP Code: 34741-3219
Phone: (407) 518-7700

Authorized Official

Name: SYED SHAFEEQ UR RAHMAN, M.D.
Title: DOCTOR
Phone: (407) 518-7700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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