Organization
EZE D. UCHE, M.D., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSE A SMITH CMM (ADMINISTRATOR)
(352) 360-0058
Entity
Organization
Contact information
Practice address
4646 VIA DEL MEDICO, LEESBURG, FL 34748-6995
(352) 360-0058
(352) 360-0024
Mailing address
4646 VIA DEL MEDICO, LEESBURG, FL 34748-6995
(352) 360-0058
(352) 360-0024
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0073420
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060048208
RAILROAD MEDICARE
FL
05
—
252133400
—
FL
Enumeration date
09/19/2007
Last updated
08/06/2009
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