# EMMED, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689817918
- **Authorized official:** DR. KENNETH M DEGRAAF M.D. (OWNER/PROVIDER)
- **Authorized official phone:** (727) 359-3779

## Contact information

- **Practice address:** 120 MEDICAL BLVD, STE \#106, SPRING HILL, FL 34609-0220
- **Practice address phone:** (727) 359-3779
- **Practice address fax:** (352) 684-4796
- **Mailing address:** PO BOX 7059, HUDSON, FL 34674-7059
- **Mailing address phone:** (727) 359-3779
- **Mailing address fax:** (727) 862-5455

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | ME85861 | FL | Yes |

## Other

- **Enumeration date:** 04/16/2009
- **Last updated:** 06/11/2009