| Mka Surgical Group | |
|
10524 Moss Park Rd Ste 204-771 Orlando FL 32832-5898 | |
| (937) 902-2068 | |
| Not Available |
| Full Name | Mka Surgical Group |
|---|---|
| Speciality | Physician Assistant |
| Location | 10524 Moss Park Rd Ste 204-771, Orlando, Florida |
| Authorized Official Name and Position | Kwabena Amponsah (PRESIDENT/CEO) |
| Authorized Official Contact | 9379022068 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mka Surgical Group 10524 Moss Park Rd Ste 204-771 Orlando FL 32832-5898 Ph: (937) 902-2068 | Mka Surgical Group 10524 Moss Park Rd Ste 204-771 Orlando FL 32832-5898 Ph: (937) 902-2068 |
| NPI Number | 1184916801 |
|---|---|
| Provider Enumeration Date | 05/12/2011 |
| Last Update Date | 12/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184916801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME99974 (Florida) | Secondary |
| 363A00000X | Physician Assistant | PA9104033 (Florida) | Primary |
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