Individual
AKWASI ADU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6423 ROYAL HUNT DR APT 104, TAMPA, FL 33625-2496
(813) 381-2639
Mailing address
6423 ROYAL HUNT DR APT 104, TAMPA, FL 33625-2496
(813) 381-2639
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
022764700
FL
376K00000X
Nurse's Aide
Primary
337510
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022764700
—
FL
Enumeration date
08/03/2020
Last updated
08/03/2020
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