Provider Demographics
NPI:1619120557
Name:ASARE, KINGSLEY APPAW (DO)
Entity Type:Individual
Prefix:DR
First Name:KINGSLEY
Middle Name:APPAW
Last Name:ASARE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9555 SEMINOLE BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SEMINOLE
Mailing Address - State:FL
Mailing Address - Zip Code:33772-2562
Mailing Address - Country:US
Mailing Address - Phone:727-729-9000
Mailing Address - Fax:866-614-2548
Practice Address - Street 1:9555 SEMINOLE BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:SEMINOLE
Practice Address - State:FL
Practice Address - Zip Code:33772-2562
Practice Address - Country:US
Practice Address - Phone:727-729-9000
Practice Address - Fax:866-614-2548
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-23
Last Update Date:2015-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS10525207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL462948220Medicaid