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Organization

MID-FLORIDA RHEUMATOLOGY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KWABENA AYESU MD (MD)
(386) 668-4202
Entity
Organization

Contact information

Practice address
1743 PARK CENTER DR STE 400, ORLANDO, FL 32835-7621
(386) 668-4202
(386) 668-4207
Mailing address
1743 PARK CENTER DR STE 400, ORLANDO, FL 32835-7621
(386) 668-4202
(386) 668-4207

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary

Other

Enumeration date
02/14/2019
Last updated
04/29/2019
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