Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 36116409 | IL |
N | 207Q00000X | Family Doctor | ME 96098 | FL |
Y | 207QS0010X | Family Doctor - Sports Medicine | ME96098 | FL |
NPI | 1205856705 |
---|---|
Provider Name | Dr. Ahmed Quaye Aidoo |
First Address | Saint Cloud, FL 34769-4054 |
Second Address | Saint Cloud, FL 34769-4054 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2006 |
Last Update Date | 27/01/2009 |