Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QA0401X | Family Doctor - Addiction Medicine | ME107980 | FL |
Y | 207W00000X | Ophthalmologist | ME107980 | FL |
N | 208D00000X | General Practice Physician | ME107980 | FL |
NPI | 1801122395 |
---|---|
Provider Name | Dr. Godwin Stanley Okoye |
First Address | Valrico, FL 33596-7372 |
Second Address | Tampa, FL 33619-2663 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2009 |
Last Update Date | 12/07/2017 |