Individual
RONNIE KUO REN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1197
(352) 376-1611
Mailing address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1197
(352) 376-1611
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
274525
MA
207P00000X
Emergency Medicine Physician
Primary
ME149249
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110134615A
—
MA
Enumeration date
04/18/2015
Last updated
12/28/2021
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