Dr Nneamaka Ukatu, MD | |
1991 Daniels Rd, Winter Garden, FL 34787-4599 | |
(407) 395-3770 | |
(407) 395-3779 |
Full Name | Dr Nneamaka Ukatu |
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Gender | Female |
Speciality | Dermatology |
Location | 1991 Daniels Rd, Winter Garden, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972064087 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | ME162333 (Florida) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Entity Name | Florida Institute Of Dermatology Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356906358 PECOS PAC ID: 1557690591 Enrollment ID: O20190917001227 |
Mailing Address | Practice Location Address |
---|---|
Dr Nneamaka Ukatu, MD 475 Seaview Ave, Staten Island, NY 10305-3436 Ph: (718) 226-8313 | Dr Nneamaka Ukatu, MD 1991 Daniels Rd, Winter Garden, FL 34787-4599 Ph: (407) 395-3770 |
Elizabeth Vidal, PA-C Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4020 Winter Garden Vineland Rd Ste 101, Winter Garden, FL 34787 Phone: 407-993-6120 | |
Michael Waudo Wangia, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1991 Daniels Rd, Winter Garden, FL 34787 Phone: 407-395-3770 Fax: 407-395-3779 |