Organization
MCRICHLANDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UZOMA KELECHI NWAUBANI MD (PHYSICIAN OWNER)
(352) 633-0703
Entity
Organization
Contact information
Practice address
9580 N US HIGHWAY 301, WILDWOOD, FL 34785-1762
(352) 633-0703
(352) 399-2168
Mailing address
9580 N US HIGHWAY 301, WILDWOOD, FL 34785
(352) 633-0703
(352) 399-2168
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
ME105721
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002182700
—
FL
01
—
149R7
BCBS
FL
05
—
GJ186A
—
FL
Enumeration date
04/02/2012
Last updated
10/03/2021
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