Organization
UCED PLLC
Active
Other names
Child Neurology & Epilepsy Center
Organization subpart
No
Provider details
NPI number
Authorized official
ARTHUR E NWAUBANI MD (OWNER)
(973) 204-4727
Entity
Organization
Contact information
Practice address
312 S LAKE ST, LEESBURG, FL 34748-5920
(973) 204-4727
Mailing address
PO BOX 490950, LEESBURG, FL 34749-0950
(973) 204-4727
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
ME 106875
FL
2084N0600X
Clinical Neurophysiology Physician
ME 106875
FL
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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