Individual
BONIFACE U NDUBISI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2964 N STATE ROAD 7, STE 100, MARGATE, FL 33063-5755
(954) 974-5190
(954) 974-0743
Mailing address
2964 N STATE ROAD 7, STE 100, MARGATE, FL 33063-5755
(954) 974-5190
(954) 974-0743
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
ME65086
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18916
BCBS
—
05
—
262018900
—
FL
Enumeration date
07/21/2005
Last updated
10/21/2009
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