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Individual

DR. ATA ATOGHO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D., FACOG

Contact information

Practice address
100 NW 170TH ST STE 304, NORTH MIAMI BEACH, FL 33169-5511
(305) 653-4105
(305) 652-3566
Mailing address
100 NW 170TH ST, 304, NORTH MIAMI BEACH, FL 33169-5513
(305) 653-4105
(305) 652-3566

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME102337
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000578600
FL
Enumeration date
08/21/2008
Last updated
11/08/2022
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