Individual
DR. OBIOMA ANTHONY ESOMONU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1028 DUNN AVE, JACKSONVILLE, FL 32218-4830
(047) 667-6069
(904) 766-7679
Mailing address
6101 BLUE LAGOON DR STE 400, MIAMI, FL 33126-2051
(305) 500-2000
(386) 325-1086
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
19415
PR
208D00000X
General Practice Physician
Primary
ACN907
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020486500
—
FL
Enumeration date
07/14/2016
Last updated
01/19/2024
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