Individual
DR. OGHENEVWOGAGA OPHORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
160 NW 170TH ST, NORTH MIAMI BEACH, FL 33169
(305) 619-4248
Mailing address
127 BERKELEY AVE, BLOOMFIELD, NJ 07003-5740
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME114860
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2011
Last updated
06/04/2018
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