Individual
IDIKA UZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6804 CECELIA DR, NEW PORT RICHEY, FL 34653-4935
(855) 232-0644
(888) 546-0488
Mailing address
1440 RINCON DR, WESLEY CHAPEL, FL 33544-6650
(813) 407-1018
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11013910
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN11013910
STATE LICENSE
FL
Enumeration date
09/17/2015
Last updated
03/03/2022
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