Individual
MRS. CHIAMAKA IHEME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
120 CYPRESS EDGE DR, SUITE 202, PALM COAST, FL 32164-8453
(386) 586-4462
(386) 586-4463
Mailing address
120 CYPRESS EDGE DR, SUITE 202, PALM COAST, FL 32164-8453
(386) 586-4462
(386) 586-4463
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME121226
FL
207Q00000X
Family Medicine Physician
TRN 17495
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME121226
FL MEDICAL LICENSE
FL
Enumeration date
11/27/2013
Last updated
05/14/2024
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