MEDICARE: KWASI BOATENG TWUM-FENING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PS52733	FL

General Provider Information

NPI Number	:	1457955403
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KWASI BOATENG TWUM-FENING

Provider Business Mailing Address
First Line	:	1117 EAGLE RUN WAY
Second Line	:
City	:	OCOEE
State	:	FL
Zip	:	34761-1433
Country	:	US
Telephone Number	:	404-538-0409
Fax Number	:

Provider Business Practice Location Address
First Line	:	5300 S JOHN YOUNG PKWY
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32839-7363
Country	:	US
Telephone Number	:	407-370-2522
Fax Number	:	407-370-2522

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/30/2020
Last Update Date	:	11/30/2020

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Directions to “ KWASI BOATENG TWUM-FENING ” Practice Location

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