Individual
DR. FIDELIS I IKWUEME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
86 W UNDERWOOD ST, ORLANDO, FL 32806
(888) 912-3648
(321) 841-4085
Mailing address
86 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(888) 912-3648
(321) 841-4085
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
30669
OK
207R00000X
Internal Medicine Physician
Primary
ME130092
FL
208M00000X
Hospitalist Physician
ME130092
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020611600
—
FL
Enumeration date
06/12/2014
Last updated
04/20/2021
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