Individual
DR. NGOZI K EZEUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
855 S HIGHLAND AVE, CLEARWATER, FL 33756
(727) 219-1833
(727) 330-2908
Mailing address
1395 NW 167TH ST, MIAMI GARDENS, FL 33169-5710
(305) 628-6117
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
PO3610
FL
213ES0131X
Foot Surgery Podiatrist
Primary
PO3610
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15159100
—
FL
Enumeration date
03/04/2009
Last updated
10/23/2019
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