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Individual

FAITHFUL OSAREKPAMA OSAWE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1879 NIGHTINGALE LN STE C1, TAVARES, FL 32778-4363
(352) 742-1171
Mailing address
770 W GRANADA BLVD STE 101, ORMOND BEACH, FL 32174-5179

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036142779
IL
207R00000X
Internal Medicine Physician
Primary
ME157565
FL
208M00000X
Hospitalist Physician
036142779
IL

Other

Enumeration date
06/23/2014
Last updated
07/02/2025
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