OrganizationActive
Kissimmee Endoscopy Center Associates, Inc
NPI 1366539629 · Ambulatory Surgical Clinic/Center · Kissimmee, FL
Provider details
- NPI number
- 1366539629
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shamus Holt, Administrator(407) 463-0672
- License
- 1130 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
715 Oak Commons Blvd
Kissimmee, FL 34741-4213
Phone: (407) 463-0672
Fax: (407) 581-2777
Street-level locationGet directions
Mailing address
715 Oak Commons Blvd
Kissimmee, FL 34741-4213
Registry dates
- Enumerated
- 2006-10-06
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.