Individual
DR. KWASI PRAKAH-ASANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
820 PRUDENTIAL DR, SUITE 606, JACKSONVILLE, FL 32207-8210
(904) 398-3356
(904) 398-5397
Mailing address
851 TRAFALGAR CT., SUITE 200E, MAITLAND, FL 32751
(407) 667-0444
(407) 667-4338
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036096985
IL
207L00000X
Anesthesiology Physician
Primary
ME75977
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
036096985
IL
207Q00000X
Family Medicine Physician
036096985
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036096985
—
IL
Enumeration date
10/25/2005
Last updated
07/21/2017
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