Individual
SIMEON OKEZIE OBIUKWU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
76 UNDERWOOD ST STE 200, ORLANDO, FL 32806-1110
(321) 841-2800
(321) 843-8777
Mailing address
76 UNDERWOOD ST STE 200, ORLANDO, FL 32806-1110
(321) 841-2800
(321) 843-8777
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11003727
FL
363LF0000X
Family Nurse Practitioner
11003727
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127448600
—
FL
Enumeration date
08/19/2019
Last updated
09/26/2025
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