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

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

Organization Adult Medicine Physician · NPI 1396925574

Kissimmee Primary Care Anti-Aging Wellness and Weight Loss Center PA is an Adult Medicine Physician in Kissimmee, Florida. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1520 N John Young Pkwy
Kissimmee, FL 34741-3219
Phone: (407) 518-7700
Fax: (407) 518-7100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X

Record details

NPI number1396925574
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mohamed Gajraj — President · (407) 518-7700
NPI enumeratedNovember 6, 2007
Last updated in NPPESFebruary 16, 2009
Mailing address1520 N John Young Pkwy, Kissimmee, FL 34741-3219

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