Ebenezer Medical Center Orlando Corp.
NPI 1265178131ActiveOrganization· General Practice· Kissimmee, FL
General Practice in Kissimmee, Florida, registered in NPPES in May 2022. The authorized official on file is Maite Jimenez, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1265178131 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 12, 2022 |
| Last updated in NPPES | Jan 24, 2023 |
| Certified by provider | Jan 18, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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