Individual
MR. EFOSA OSAWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 W PLYMOUTH AVE, DELAND, FL 32720-3236
(386) 943-3160
(386) 943-3169
Mailing address
PO BOX 935921, ATLANTA, GA 31193-5921
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
ME158859
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201349640
—
IN
Enumeration date
05/09/2012
Last updated
06/28/2024
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