Individual
KWAME SAFO NTIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3004 17TH ST, SAINT CLOUD, FL 34769-6011
(407) 593-2910
(407) 593-2913
Mailing address
3004 17TH STREET, ST CLOUD, FL 34769
(407) 593-2910
(407) 593-2913
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME114943
FL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME114943
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008982700
—
FL
Enumeration date
05/31/2007
Last updated
09/25/2015
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