Uche Ukeagu, | |
100 E Sybelia Ave Ste 217, Maitland, FL 32751-4757 | |
(954) 415-5931 | |
Not Available |
Full Name | Uche Ukeagu |
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Gender | Male |
Speciality | Chiropractor |
Location | 100 E Sybelia Ave Ste 217, Maitland, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033599964 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH 11550 (Florida) | Primary |
Provider Name | Prime Impact Chiropractic, Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1629778113 PECOS PAC ID: 2961868526 Enrollment ID: O20230524001176 |
Mailing Address | Practice Location Address |
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Uche Ukeagu, 850 Nw 86th Ave Apt 501, Plantation, FL 33324-1244 Ph: (954) 415-5931 | Uche Ukeagu, 100 E Sybelia Ave Ste 217, Maitland, FL 32751-4757 Ph: (954) 415-5931 |
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