Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Ebenezer Medical Center Orlando Corp

Organization General Practice Physician · NPI 1265178131

Ebenezer Medical Center Orlando Corp provides General Practice Physician services in Kissimmee, Florida. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

845 E Oak St
Kissimmee, FL 34744-5838
Phone: (407) 343-1278
Fax: (888) 498-3604
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1265178131
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maite Jimenez — Owner · (305) 491-3969
NPI enumeratedMay 12, 2022
Last updated in NPPESJanuary 24, 2023
Certification dateJanuary 18, 2023
Mailing address845 E Oak Street, Kissimmee, FL 34744-5838

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