Individual
EDDY T OGBEKHILU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17607 SIMMONS RD, LUTZ, FL 33548-4596
(813) 506-1432
Mailing address
17607 SIMMONS RD, LUTZ, FL 33548-4596
(813) 506-1432
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5180181
FL
Other
Enumeration date
02/16/2015
Last updated
02/16/2015
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