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

Kissimmee Primary CARE/ Anti-Aging Wellness and Weight Loss Center PA

Organization General Practice Physician · NPI 1528212651

Kissimmee Primary CARE/ Anti-Aging Wellness and Weight Loss Center PA is a General Practice Physician in Kissimmee, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
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
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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 · Licence ME86628 (FL)

Record details

NPI number1528212651
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Syed Shafeeq Rahman — Doctor · (407) 518-7700
NPI enumeratedNovember 17, 2008
Last updated in NPPESApril 21, 2009
Mailing address1520 N. John Young Parkway, Kissimmee, FL 34741-3219

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