Individual
DR. COLLINS EZEUKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1949 NORTHGATE BLVD, SARASOTA, FL 34234-2143
(941) 208-3070
(941) 208-3067
Mailing address
5342 CLARK RD # 3072, SARASOTA, FL 34233-3227
(818) 554-0112
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME143828
FL
Other
Enumeration date
04/11/2013
Last updated
11/16/2023
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