Individual
DR. CHUKA GODWIN ENEBELI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
6905 W COLONIAL DR, ORLANDO, FL 32818-6829
(407) 237-0648
Mailing address
6905 W COLONIAL DR, ORLANDO, FL 32818-6829
(305) 731-1144
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
019299
PR
208D00000X
General Practice Physician
019299
PR
208D00000X
General Practice Physician
ACN979
FL
208VP0000X
Pain Medicine Physician
Primary
ACN929
FL
261QP3300X
Pain Clinic/Center
PMC1840
FL
Other
Enumeration date
04/12/2016
Last updated
08/02/2024
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