Individual
AKUA OWUSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2055 REYKO RD STE 100, JACKSONVILLE, FL 32207-2828
(239) 690-6906
Mailing address
2394 FOXHAVEN DR W, JACKSONVILLE, FL 32224-2010
(904) 887-3382
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME67605
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104250
UNITED BEHAVIORAL HEALTH
FL
01
—
27808
BLUE CROSS & BLUE SHIELD
FL
05
—
378045700
—
FL
Enumeration date
01/29/2007
Last updated
08/29/2024
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