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Individual

EHIJELE OMOIKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9441 HEALTH CENTER DR, LAND O LAKES, FL 34637-5837
(813) 903-3700
(813) 615-8337
Mailing address
PO BOX 550307, TAMPA, FL 33655-0307
(352) 867-8898
(352) 732-6282

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME92950
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME92950
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16910
BLUE CROSS BLUE SHIELD
FL
05
273215700
DC
01
P00294467
RAILROAD MEDICARE
FL
Enumeration date
07/11/2006
Last updated
01/30/2024
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