KISSIMMEE ENDOSCOPY CENTER; NPI #1477595056

Contact Information

KISSIMMEE ENDOSCOPY CENTER

715 OAK COMMONS BLVD
KISSIMMEE, FL 34741-4213

Phone: 407-931-2816
Fax: 407-931-3485
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Endoscopy	261QE0800X

Indicates primary specialty

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NPI Profile & details for KISSIMMEE ENDOSCOPY CENTER

NPI Number 1477595056

LBN Legal business name KISSIMMEE ENDOSCOPY CENTER

Authorized official CHRISTOPHER HOLDEN - (CHIEF MANGER OF LLC)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/11/2006

Last updated 10/02/2007 - About 19 years ago

Identifiers

FL	License #	1130
	Other	AMERIGROUP	113612
	Other	AETNA HMO	2802721
	Other	CIGNA	6547055
	Other	7144367	AETNA PPO/POS
	Other	283180	AVMED
	Other	6A8	HEALTH OPTIONS
	Other	199240	STAYWELL/WELLCARE
FL	Other	6A8	BC/BS

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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