Individual
NDUBUISI CHRISTOPHER EDEOGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21205 OLEAN BLVD, STE A, PORT CHARLOTTE, FL 33952-6756
(941) 613-2800
(941) 613-2801
Mailing address
21205 OLEAN BLVD, STE A, PORT CHARLOTTE, FL 33952-6756
(941) 613-2800
(941) 613-2801
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME115682
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009262800
—
FL
01
—
ME115682
LICENSE
FL
Enumeration date
07/14/2008
Last updated
10/31/2024
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