Organization
ABRAHAM INFECTIOUS DISEASE ASSOCIATES 2 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIZATCHEW KETSELA MD (OWNER)
8509182405850
Entity
Organization
Contact information
Practice address
2927 KERRY FOREST PKWY, TALLAHASSEE, FL 32309-7815
(850) 329-2872
(850) 329-2882
Mailing address
2910 KERRY FOREST PKWY # D4-369, TALLAHASSEE, FL 32309-6892
(850) 329-2872
(850) 329-2882
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME99953
FL
Other
Enumeration date
10/21/2016
Last updated
11/07/2016
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