Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 25MA08394000 | NJ |
N | 207V00000X | Obstetrician & Gynecologist | ME105721 | FL |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | ME105721 | FL |
NPI | 1679734453 |
---|---|
Provider Name | Dr. Uzoma Kelechi Nwaubani |
First Address | Wildwood, FL 34785-8772 |
Second Address | Wildwood, FL 34785-8772 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2008 |
Last Update Date | 19/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
002182700 | (05) | FL |