Individual
IJEOMA NWAIGWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
12421 S ORANGE BLOSSOM TRL, ORLANDO, FL 32837-6508
(407) 859-5656
(407) 859-2124
Mailing address
11937 US HWY 271, ATTN: KATE WELLS, TYLER, TX 75708
(903) 877-7000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS18985
FL
208D00000X
General Practice Physician
Primary
OS18985
FL
390200000X
Student in an Organized Health Care Education/Training Program
BP10068780
TX
Other
Enumeration date
05/13/2019
Last updated
01/24/2024
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