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Organization

CHINYERE CENTER FOR WELLNESS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CARMELITA EBURUCHE M.D. (OWNER)
(352) 735-3396
Entity
Organization

Contact information

Practice address
131 E 19TH AVE, MOUNT DORA, FL 32757-2803
(352) 735-3396
Mailing address
3320 CYPRESS GROVE DR, EUSTIS, FL 32736-2506
(352) 461-3229

Taxonomy

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

Other

Enumeration date
10/11/2013
Last updated
10/11/2013
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