| Kenneth Appah Sampong, P.a. | |
|
709 Physicians Ct Leesburg FL 34748-7357 | |
| (352) 728-5116 | |
| (352) 728-5928 |
| Full Name | Kenneth Appah Sampong, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 709 Physicians Ct, Leesburg, Florida |
| Authorized Official Name and Position | Kenneth Appah Sampong (PRESIDENT) |
| Authorized Official Contact | 3527285116 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Appah Sampong, P.a. 709 Physicians Ct Leesburg FL 34748-7357 Ph: (352) 728-5116 | Kenneth Appah Sampong, P.a. 709 Physicians Ct Leesburg FL 34748-7357 Ph: (352) 728-5116 |
| NPI Number | 1073674404 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 02/18/2013 |
| Medicare PECOS PAC ID | 4486674454 |
|---|---|
| Medicare Enrollment ID | O20051206000248 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073674404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Primary |
| Provider Name | Kenneth A Sampong |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649236167 PECOS PAC ID: 0840188652 Enrollment ID: I20040304000891 |
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