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Individual

DR. ANGELA CHUDE OKOLIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
1900 DON WICKHAM DR, MP SL ADMIN, CLERMONT, FL 34711-1979
(352) 536-8840
(352) 536-8841
Mailing address
1900 DON WICKHAM DR, MP SL ADMIN, CLERMONT, FL 34711-1979
(352) 536-8840
(352) 536-8841

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME 112128
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
014563800
FL
01
ME112128
MEDICAL LICENSE
FL
Enumeration date
02/29/2012
Last updated
11/16/2016
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