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Organization
KWABENA AMPONSAH PA-C, PLLC
Active
Organization
KWABENA AMPONSAH PA-C, PLLC
Active
Other names
MKA Surgical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KWABENA AMPONSAH PA-C (PRESIDENT/CEO)
(937) 902-2068
Entity
Organization
Contact information
Practice address
10524 MOSS PARK RD STE 204-771, ORLANDO, FL 32832-5898
(937) 902-2068
Mailing address
10524 MOSS PARK RD STE 204-771, ORLANDO, FL 32832-5898
(937) 902-2068
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
ME99974
FL
363A00000X
Physician Assistant
Primary
PA9104033
FL
Other
Enumeration date
05/12/2011
Last updated
12/03/2020
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