| Peter Amos Ankoh MD PA | |
|
1107 W Dixie Ave Leesburg FL 34748-6311 | |
| (352) 728-2999 | |
| (352) 728-5928 |
| Full Name | Peter Amos Ankoh MD PA |
|---|---|
| Speciality | Internal Medicine |
| Location | 1107 W Dixie Ave, Leesburg, Florida |
| Authorized Official Name and Position | Peter a Ankoh (PRESIDENT) |
| Authorized Official Contact | 3527282999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Amos Ankoh MD PA Post Office Box 492530 Leesburg FL 34749-2530 Ph: (352) 728-2999 | Peter Amos Ankoh MD PA 1107 W Dixie Ave Leesburg FL 34748-6311 Ph: (352) 728-2999 |
| NPI Number | 1225154289 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 09/11/2014 |
| Medicare PECOS PAC ID | 7416048046 |
|---|---|
| Medicare Enrollment ID | O20070810000202 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225154289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME92546 (Florida) | Primary |
| 261QP2300X | Clinic/center - Primary Care | ME 92546 (Florida) | Secondary |
| Provider Name | Peter a Ankoh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720044241 PECOS PAC ID: 3971581695 Enrollment ID: I20051208000162 |
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