Individual
DR. BETTY ORIEJI AGBEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD MPH
Contact information
Practice address
5554 CLARCONA OCOEE RD, ORLANDO, FL 32810
(407) 292-0292
(407) 292-5175
Mailing address
PO BOX 616788, ORLANDO, FL 32861-6788
(407) 244-7701
(407) 770-0594
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2010-00664
NC
207Q00000X
Family Medicine Physician
MD040841E
PA
207Q00000X
Family Medicine Physician
Primary
ME111451
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011697570004
—
PA
Enumeration date
08/18/2006
Last updated
03/22/2013
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