Provider Demographics
NPI:1699056515
Name:AKOMEAH, DENIS KWABENA
Entity type:Individual
Prefix:MR
First Name:DENIS
Middle Name:KWABENA
Last Name:AKOMEAH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 US HIGHWAY 27
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34714-5890
Mailing Address - Country:US
Mailing Address - Phone:352-242-4563
Mailing Address - Fax:352-242-4934
Practice Address - Street 1:1600 US HIGHWAY 27
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34714-5890
Practice Address - Country:US
Practice Address - Phone:352-242-4563
Practice Address - Fax:352-242-4934
Is Sole Proprietor?:No
Enumeration Date:2011-09-06
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS36254183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist