Individual
KIZITO LOTACHUKWU MBAEKWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
307 NINE IRON DR, CHAMPIONS GATE, FL 33896-8025
(561) 633-6392
Mailing address
2033 SE LENNARD RD APT 209, PORT SAINT LUCIE, FL 34952-4748
(561) 633-6392
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9589560
FL
Other
Enumeration date
06/04/2026
Last updated
06/04/2026
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