Individual
AGNES UBANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11434 N 53RD STREET, TEMPLE TERRACE, FL 33617-4071
(813) 341-7900
(813) 341-7903
Mailing address
PO BOX 16722, TAMPA, FL 33687-6722
(813) 341-7900
(813) 341-7903
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME 84332
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285702894
K7030
FL
05
—
264702800
—
FL
01
—
K7030
1285702894
FL
Enumeration date
12/01/2006
Last updated
08/15/2013
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