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MR. FESTUS ADDO AGYEKUM PA-C

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1508070913

Individual Registrant:
MR. FESTUS ADDO AGYEKUM PA-C
Gender: M
Not Sole Proprietor

Location and contact information for practice:
205 DR MARTIN LUTHER KING JR ST N  ST PETERSBURG, FL 33701-3109 US
Tel: 727-824-6900  Fax: --

Contact information for business:
2302 MESSENGER CIR  SAFETY HARBOR, FL 34695-5518 US
Tel: --  Fax: --

Registration Information:
NPI: 1508070913
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
FLPA9102884

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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