Ketty Maurice DO

NPI 1053368043 - Family Medicine - 207Q00000X

NPI Details
NPI 1053368043
Gender Female
Enumeration Date 05/27/2006
Last Updated 07/13/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
1118 PENNSYLVANIA AVE
SAINT CLOUD FL, 34769-3750, US
Phone (407) 892-3627
Fax (407) 892-3625
Business Location
PO BOX 702382
SAINT CLOUD FL, 34770-2382, US
Phone (407) 892-3627
Fax (407) 892-3625
Toxanomy
Taxonomy Code 207Q00000X
License State Florida
License Number OS8053
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According to our database, Ketty Maurice DO NPI is 1053368043, taxonomy code is 207Q00000X and license number is OS8053, license state is located at Florida. Ketty Maurice DO physically located at 1118 Pennsylvania Ave, Saint Cloud FL, 34769-3750. NPI Number Ketty Maurice DO has the Individual type.

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1053368043 NPI number is provided on an as is basis without warranty of any kind. 1053368043 is maintained by the National Plan & Provider Enumeration System. The contents of Ketty Maurice DO are for informational purposes only.