HUMANITARY MEDICAL CENTER KISSIMMEE, INC
NPI 1821973587
Clinic/Center - Primary Care in Kissimmee, FL

Q: What is Humanitary Medical Center Kissimmee, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since August 11, 2025CLIA 10D2331298 · Waiver

1507 N JOHN YOUNG PKWY, KISSIMMEE, FL 34741(407) 288-8850(407) 214-1333 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Humanitary Medical Center Kissimmee, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HUMANITARY MEDICAL CENTER KISSIMMEE, INC (NPI 1821973587) is a healthcare organization registered as a primary care in Kissimmee, Florida and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through September 29, 2027 and lists Eliecer Gonzalez, President, as its authorized official.

NPPES Registry Identity

NPI1821973587

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameHUMANITARY MEDICAL CENTER KISSIMMEE, INC

Location Address1507 N JOHN YOUNG PKWYKissimmee, FL 34741-3214

Mailing Address3109 W Dr Martin Luther King Jr Blvd Ste 121Tampa, FL 33607-6240 · (813) 708-1313 · Fax (813) 945-3771

Phone(407) 288-8850

Fax(407) 214-1333

Organization SubpartNo

Authorized OfficialEliecer GonzalezPresident · (813) 468-1866

Enumeration DateAugust 11, 2025

NPPES CertifiedAugust 11, 2025

✔ NPI 1821973587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

1507 N JOHN YOUNG PKWY, Kissimmee, FL 34741

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2331298

Humanitary Medical Center Kissimmee, Inc · Kissimmee, FL

Active · expires Sep 29, 2027

CLIA Number10D2331298

Laboratory TypePhysician Office

Certificate Effective DateSeptember 30, 2025

Certificate Expiration DateSeptember 29, 2027

Laboratory DirectorDr. Pablo Lam

Laboratory Phone(407) 288-8850

Laboratory LocationHumanitary Medical Center Kissimmee, Inc1507 N John Young Pkwy, Kissimmee, FL 34741

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANNON GRACE FOURNIER LPN

Licensed Practical Nurse