Individual
NNAEMEKA CHUKWUKA IDIGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(321) 422-7155
(407) 667-4338
Mailing address
851 TRAFALGAR CT, SUITE 200E, MAITLAND, FL 32751-4132
(321) 422-7155
(407) 667-4338
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME124337
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
BCBS
FL
05
—
PENDING
—
FL
Enumeration date
05/18/2011
Last updated
11/19/2015
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