Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ebenezer Medical Center Orlando Corp

Organization General Practice Physician · NPI 1265178131

Ebenezer Medical Center Orlando Corp is a General Practice Physician 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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