Individual
OBINNA PETER EJIMONYEUGWO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9981 S HEALTHPARK DR, FORT MYERS, FL 33908-3618
(239) 343-2052
(239) 343-5348
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-2052
(239) 343-5348
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
89349
GA
208M00000X
Hospitalist Physician
Primary
ME159993
FL
390200000X
Student in an Organized Health Care Education/Training Program
239286
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119386000
—
FL
Enumeration date
04/04/2018
Last updated
10/04/2023
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