Individual
KEMKA S OGBURIA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
515 W STATE ROAD 434, SUITE 210, LONGWOOD, FL 32750-4981
(407) 332-8080
(407) 260-0602
Mailing address
515 W STATE ROAD 434, SUITE 210, LONGWOOD, FL 32750-4981
(407) 332-8080
(407) 260-0602
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME101561
FL
207ND0101X
MOHS-Micrographic Surgery Physician
036118526
IL
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
ME101561
FL
Other
Enumeration date
01/27/2008
Last updated
08/18/2022
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