Individual
KOSISOCHUKWU NKENNA ANAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
205 NE 2ND ST, OKEECHOBEE, FL 34972-2974
(561) 985-0433
(888) 508-5497
Mailing address
11924 FOREST HILL BLVD # 10A-243, WELLINGTON, FL 33414-6256
(561) 693-5143
(888) 726-9052
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME137136
FL
208M00000X
Hospitalist Physician
Primary
ME137136
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101899600
—
FL
01
—
14290897
CAQH
FL
01
—
AHYOI
FLORIDA BLUE
FL
Enumeration date
03/31/2015
Last updated
11/08/2022
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