Individual
DR. UKONU EJIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
104 LACOSTA LN, SUITE 120, DAYTONA BEACH, FL 32114-8159
(386) 274-1966
(386) 274-1964
Mailing address
104 LACOSTA LN, SUITE 120, DAYTONA BEACH, FL 32114-8159
(386) 274-1966
(386) 274-1964
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME86706
FL
Other
Enumeration date
12/22/2005
Last updated
02/07/2013
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