Individual
NKIRUKA EZENWAJIAKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8100 SW 10TH ST, PLANTATION, FL 33324-3279
(954) 210-1000
Mailing address
8100 SW 10TH ST, PLANTATION, FL 33324-3279
(954) 210-1000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L-255469
MA
207RH0003X
Hematology & Oncology Physician
Primary
ME139101
FL
Other
Enumeration date
05/29/2013
Last updated
09/09/2019
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