Organization
SHAWKAT KERO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWKAT KERO (PRESIDENT)
(352) 596-8995
Entity
Organization
Contact information
Practice address
11373 CORTEZ BLVD STE 401, BROOKSVILLE, FL 34613-5406
(352) 596-8995
(352) 597-0002
Mailing address
11373 CORTEZ BLVD STE 401, BROOKSVILLE, FL 34613-5406
(352) 596-8995
(352) 597-0002
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME0043866
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069665000
—
FL
Enumeration date
05/13/2010
Last updated
05/13/2010
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