MEDICARE: KISSIMMEE MEDICAL CENTER PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558345173
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KISSIMMEE MEDICAL CENTER PA

Provider Business Mailing Address
First Line	:	1910 W OAK ST
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34741-4301
Country	:	US
Telephone Number	:	407-343-4338
Fax Number	:	407-343-4335

Provider Business Practice Location Address
First Line	:	1910 W OAK ST
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34741-4301
Country	:	US
Telephone Number	:	407-343-4338
Fax Number	:	407-343-4335

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SHANTI SINGH
Credential	:	MD
Telephone Number	:	407-343-4338

Provider Enumeration Date	:	12/06/2005
Last Update Date	:	11/08/2011

Similar Medicare Providers

1144291980 — SHANTI SINGH MD
Practice Location Address:

1910 W OAK ST
KISSIMMEE, FL
34741-4301

Practice Phone: 407-343-4338
Practice Fax: 407-343-4335

1548116791 — BULWARK BEHAVIORAL HEALTH SERVICES LLC
Practice Location Address:

614 BOBCAT LN
KISSIMMEE, FL
34759-4301

Practice Phone: 407-618-9714
Practice Fax:

1043938178 — ZITTO LLC
Practice Location Address:

614 BOBCAT LN
KISSIMMEE, FL
34759-4301

Practice Phone: 407-618-9714
Practice Fax:

1881541134 — RAMON ARROYO
Practice Location Address:

853 HACIENDA CIR
KISSIMMEE, FL
34741-6379

Practice Phone: 407-460-8344
Practice Fax:

1558218610 — ASHLEY MARGARITA CORONADO
Practice Location Address:

102 PARK PLACE BLVD STE C
KISSIMMEE, FL
34741-2358

Practice Phone: 407-385-0728
Practice Fax:

1508493479 — DR. FARIS NABEEH MAROON MATANES MBBS
Practice Location Address:

720 W OAK ST STE 201
KISSIMMEE, FL
34741-4998

Practice Phone: 321-697-1730
Practice Fax:

Directions to “KISSIMMEE MEDICAL CENTER PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.