| Organization Name: | KWABENA AMPONSAH PA-C, PLLC |
| NPI Number: | 1184916801 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KWABENA AMPONSAH (PRESIDENT/CEO) |
| Mailing Address: | 10018 Madison Banks St Orlando |
| State: | FL US |
| Postal Code: | 328276940 |
| Phone Number: | 4076079455 |
| Fax Number: | 4079853580 |
| NPI Enumeration Date: | 05/12/2011 |
| NPI Last Update Date: | 06/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME99974 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |