Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | 71301 | FL |
NPI | 1043257215 |
---|---|
Provider Name | Dr. Alfred Asante-Korang |
First Address | St Petersburg, FL 33701-4630 |
Second Address | St Petersburg, FL 33701-4630 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2006 |
Last Update Date | 01/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
250463400 | (05) | FL |
G39155 | (02) | FL |