Individual
OBIOMA OGBONNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 RIVERPLACE BLVD, SUITE 620, JACKSONVILLE, FL 32207-9046
(904) 396-6620
(904) 396-6528
Mailing address
1200 RIVERPLACE BLVD, SUITE 620, JACKSONVILLE, FL 32207-9046
(904) 396-6620
(904) 396-6528
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
53754
TN
207P00000X
Emergency Medicine Physician
66040
MN
207P00000X
Emergency Medicine Physician
Primary
R8446
TX
207Q00000X
Family Medicine Physician
24086
MS
207Q00000X
Family Medicine Physician
ME113771
FL
Other
Enumeration date
07/01/2009
Last updated
09/12/2024
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