Organization
EMMED, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH M DEGRAAF M.D. (OWNER/PROVIDER)
(727) 359-3779
Entity
Organization
Contact information
Practice address
120 MEDICAL BLVD, STE #106, SPRING HILL, FL 34609-0220
(727) 359-3779
(352) 684-4796
Mailing address
PO BOX 7059, HUDSON, FL 34674-7059
(727) 359-3779
(727) 862-5455
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME85861
FL
Other
Enumeration date
04/16/2009
Last updated
06/11/2009
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