Individual
SEGUN MATHEW OWOEYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6413 TRENT CREEK DR, RUSKIN, FL 33573-0119
(813) 966-2594
Mailing address
6413 TRENT CREEK DR, RUSKIN, FL 33573-0119
(813) 966-2594
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9381278
FL
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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