Individual
MR. JAPHETH M OMWENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
2940 MALLORY CIR STE 204, CELEBRATION, FL 34747-1818
(407) 507-2615
Mailing address
1121 DARNABY WAY, ORLANDO, FL 32824-5035
(407) 456-1342
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN9335373
FL
Other
Enumeration date
10/03/2017
Last updated
03/17/2018
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