Individual
DAVID O IKUDAYISI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6641 MADISON ST, SUITE 3, NEW PORT RICHEY, FL 34652-1966
(727) 232-0826
(727) 597-8487
Mailing address
8019 N HIMES AVE, SUITE 200, TAMPA, FL 33614-2712
(813) 932-9798
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
ME87841
FL
208VP0000X
Pain Medicine Physician
Primary
ME87841
FL
Other
Enumeration date
11/28/2007
Last updated
09/05/2025
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