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Individual

IZU E NWAKOBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2980 SE 3RD CT, OCALA, FL 34471-0421
(352) 622-4231
(352) 622-0513
Mailing address
2980 SE 3RD CT, OCALA, FL 34471-0421
(352) 622-4231
(352) 622-0513

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME85083
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110237945
RRMC (IND)
FL
05
265030400
FL
01
CD4677
RRMC (GRP)
FL
Enumeration date
07/14/2005
Last updated
09/25/2008
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