Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | ME139499 | FL |
NPI | 1518300904 |
---|---|
Provider Name | Kojo Marfo |
First Address | Plantation, FL 33318-7047 |
Second Address | Tamarac, FL 33321-2931 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2013 |
Last Update Date | 23/01/2020 |