KWAME SAFO NTIM (NPI# 1194926501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194926501 |
| Entity Type | Individual |
| Full Name | KWAME SAFO NTIM |
| Credential | MD |
| Practice Address |
3004 17th St Saint Cloud FL 34769-6011 |
| Mailing Address |
3004 17th Street St Cloud FL 34769 |
| Practice Telephone | 4075932910 |
| Practice Fax Number | 4075932913 |
| Mailing Telephone | 4075932910 |
| Mailing Fax Number | 4075932913 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2015-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | ME114943 | FL | Allopathic & Osteopathic Physicians |
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
ME114943 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 008982700 | 05 |
| Street Address |
3004 17TH ST |
| City | SAINT CLOUD |
| State | FL |
| Zip Code | 34769-6011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548675655 | Mustafa Kinaan | Internal Medicine | 3004 17th St, Saint Cloud, FL 34769-6011 | 2014-06-26 |
| 1215379011 | Minimally Invasive Gynecology Pllc | Obstetrics & Gynecology | 3004 17th St, Saint Cloud, FL 34769-6011 | 2013-07-22 |
| 1033487426 | Premier Endocrinology Pllc | Internal Medicine | 3004 17th St, Saint Cloud, FL 34769-6011 | 2011-12-13 |
| 1669639266 | Theresa Adadzewa Fynn | Specialist | 3004 17th St, Saint Cloud, FL 34769-6011 | 2008-05-21 |
| 1982861340 | Anthony Nyarko Gyang | Obstetrics & Gynecology | 3004 17th St, Saint Cloud, FL 34769-6011 | 2008-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053877506 | Premier Med Pa | Clinic/Center | 2906 17th St., St Cloud, FL 34769 | 2019-02-20 |
| 1760975387 | Mayra Rosado | Psychologist | Carrousel Therapy Center, 3201 Budinger Ave., Saint Cloud, FL 34769 | 2018-06-08 |
| 1598282113 | Salud Urgent Care LLC | Clinic/Center | 3107 13th Street, Saint Cloud, FL 34769 | 2017-08-24 |
| 1710332671 | American Healthcare Community Behavioral Services LLC | Social Worker | 1203 Florida Ave., St. Cloud, FL 34769 | 2016-04-28 |
| 1215395785 | Elite Garden | Assisted Living Facility | 4319 Neptune Road, St Cloud, FL 34769 | 2016-01-29 |
| 1336506732 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 4660 13th Street, St. Cloud, FL 34769 | 2016-01-15 |
| 1306202064 | Megan Rose Mcclave | Registered Nurse | 524 13th Street, St. Cloud, FL 34769 | 2016-01-12 |
| 1821473133 | Angela Creager | Counselor | 446 Hamilton Park Circle, St. Cloud, FL 34769 | 2015-07-28 |
| 1730574906 | Jordico LLC | Assisted Living Facility | 4417 13th Street, Suite 142, Saint Cloud, FL 34769 | 2015-04-03 |
| 1255731667 | Judimar Rodriguez | Behavioral Analyst | 1605 Eastern Ave, Saint Cloud, FL 34769 | 2014-09-04 |
| Find all providers in zip 34769 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548675655 | Mustafa Kinaan | Internal Medicine | 3004 17th St, Saint Cloud, FL 34769-6011 | 2014-06-26 |
| 1033487426 | Premier Endocrinology Pllc | Internal Medicine | 3004 17th St, Saint Cloud, FL 34769-6011 | 2011-12-13 |
| 1831189240 | Mark D Holm | Internal Medicine | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2005-10-26 |
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|---|---|---|---|---|
| 1922612886 | The Sugar Doctors LLC | Internal Medicine | 423 Highway 466 Apt 8206, Lady Lake, FL 32159-6307 | 2020-09-08 |
| 1144848292 | Olga Kaliebe Md LLC | Internal Medicine | 2823 W Fountain Blvd, Tampa, FL 33609-4011 | 2020-07-06 |
| 1063037810 | Endo Now LLC | Internal Medicine | 5460 Village Drive,viera, Rockledge, FL 32955 | 2020-06-08 |
| 1346873015 | Chrysalis Health of Florida P.a. | Internal Medicine | 382 Ne 191st St # 52404, Miami, FL 33179-3899 | 2020-02-20 |
| 1598300741 | Center for Integrative & Functional Endocrinology LLC | Internal Medicine | 17900 Nw 5th St Ste 202, Pembroke Pines, FL 33029-2809 | 2019-11-12 |
| 1346801834 | Medical Centers of Miami LLC | Internal Medicine | 6600 Cow Pen Rd Ste 100, Miami Lakes, FL 33014-7618 | 2019-06-25 |
| 1013402783 | Thyroid Diabetes Endocrinology and Wellness Inc | Internal Medicine | 8075 Gate Pkwy W Ste 306, Jacksonville, FL 32216-3685 | 2018-06-26 |
| 1447750773 | Smh Physician Services Inc | Internal Medicine | 1370 E Venice Ave Ste 209, Venice, FL 34285-9084 | 2018-02-13 |
| 1376087593 | Dar Endocrinology Services LLC | Internal Medicine | 100 Buenaventura Blvd Ste 102, Kissimmee, FL 34743-4513 | 2016-12-07 |
| 1073064127 | Tampa General Medical Group Inc | Internal Medicine | 10740 Palm River Road, Ste 360, Tampa, FL 33619 | 2016-10-24 |
| Find all providers with the same taxonomy | ||||
| City | SAINT CLOUD |
| Zip Code | 34769 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.