Individual
DR. SURAFEL KEBEDE GEBRESELASSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2950 CLEVELAND CLINIC BLVD, WESTON, FL 33331-3609
(954) 659-5148
(954) 659-6192
Mailing address
2950 CLEVELAND CLINIC BLVD, WESTON, FL 33331-3609
(954) 659-5148
(954) 659-6192
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35091072
OH
207RN0300X
Nephrology Physician
Primary
ME122602
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2901408
—
OH
Enumeration date
04/12/2008
Last updated
03/16/2017
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