Individual
OGHENEKPAOBOR J OYIBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-2608
(352) 273-8610
Mailing address
2799 W. GRAND BOULEVARD, DETROIT, MICHIGAN, MI 48202-2608
(313) 916-8445
(313) 916-9434
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME167119
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122572000
—
FL
Enumeration date
04/08/2020
Last updated
07/16/2024
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