Organization
KD MEDICAL CHOICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAGI YOUSSEF (MANAGER)
(407) 604-1620
Entity
Organization
Contact information
Practice address
1060 WILLA SPRINGS DR, WINTER SPRINGS, FL 32708-5214
(407) 604-1620
Mailing address
1060 WILLA SPRINGS DR, WINTER SPRINGS, FL 32708-5214
(407) 604-1620
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10D2137145
CLIA ID
FL
Enumeration date
06/14/2019
Last updated
06/14/2019
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