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Individual

IHEONU USOUWA ORIAKU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
631 17TH STREET, VERO BEACH, FL 32960-5518
(772) 778-1603
(772) 231-8470
Mailing address
P O BOX 2692, VERO BEACH, FL 32961-2692
(772) 778-1603
(772) 231-8470

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME79198
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
259802700
FL
Enumeration date
01/04/2007
Last updated
09/28/2010
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