Organization
INFECTIOUS DISEASES OF MID-FLORIDA, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UKONU OKORO EJIE M.D. (PROVIDER)
(386) 265-1021
Entity
Organization
Contact information
Practice address
290 CLYDE MORRIS BLVD STE D2, ORMOND BEACH, FL 32174-8204
(386) 265-1021
(386) 265-1033
Mailing address
PO BOX 730606, ORMOND BEACH, FL 32173-0606
(386) 265-1021
(386) 265-1033
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME86706
FL
207RI0200X
Infectious Disease Physician
Primary
ME86706
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266737100
—
FL
01
—
78720
BC OF FL
FL
Enumeration date
09/28/2006
Last updated
10/31/2025
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