Organization
KENNETH ESSIG MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH A ESSIG M.D. (PHYSICIAN)
(352) 243-6009
Entity
Organization
Contact information
Practice address
235 CITRUS TOWER BLVD STE 102, CLERMONT, FL 34711-2711
(352) 243-6009
(352) 243-7909
Mailing address
235 CITRUS TOWER BLVD STE 102, CLERMONT, FL 34711-2711
(352) 243-6009
(352) 243-7909
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME0073354
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K9212
GROUP MEDICARE NUMBER
FL
Enumeration date
09/25/2007
Last updated
02/01/2008
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