Organization
NATURE COAST FAMILY MEDICINE
Active
Parent organization
NATURE COAST WOMEN'S CARE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NATURE COAST WOMEN'S CARE, LLC
Authorized official
DR. CHUKWUMA MBONU OKOROJI MD (MEDICAL DIRECTOR)
(850) 591-1962
Entity
Organization
Contact information
Practice address
2473 CARE DR, SUITE 102, TALLAHASSEE, FL 32308-9814
(850) 591-1962
Mailing address
2473 CARE DR, SUITE 102, TALLAHASSEE, FL 32308-9814
(850) 591-1962
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME103799
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001320500
—
FL
Enumeration date
01/20/2015
Last updated
01/20/2015
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