Individual
ELIJAH DORON OBIERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
1012 LUCERNE TER, ORLANDO, FL 32806-1015
(407) 423-2347
(407) 425-2347
Mailing address
1012 LUCERNE TER, ORLANDO, FL 32806-1015
(407) 423-2347
(407) 425-2347
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9366464
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9366464
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024148700
—
FL
Enumeration date
06/24/2016
Last updated
05/04/2018
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