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Individual

ENOEMEM OKPOKPO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
701 W COCOA BEACH CSWY, COCOA BEACH, FL 32931-3585
(321) 434-1771
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-1771

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS17819
FL
208M00000X
Hospitalist Physician
Primary
OS17819
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
115266100
FL
01
PENDING
HFMG
FL
01
WT139
HFMG
FL
Enumeration date
03/23/2019
Last updated
03/09/2026
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