Organization
RAPHA VASCULAR SPECIALISTS INC.
Active
Other names
Central Florida Vein Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OBINNA UCHENNA NWOBI M.D. (PRESIDENT)
(407) 689-8793
Entity
Organization
Contact information
Practice address
1619 HARDEN BLVD, LAKELAND, FL 33803-1826
(863) 577-8346
Mailing address
1619 HARDEN BLVD, LAKELAND, FL 33803-1826
(863) 577-8346
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
ME 106633
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912028853
NPI
FL
Enumeration date
01/13/2011
Last updated
03/20/2014
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