| Myvisitingdoctorsinc | |
|
12336 Southbridge Ter Hudson FL 34669-5037 | |
| (727) 857-4108 | |
| Not Available |
| Full Name | Myvisitingdoctorsinc |
|---|---|
| Speciality | Internal Medicine |
| Location | 12336 Southbridge Ter, Hudson, Florida |
| Authorized Official Name and Position | Jonadab Uzoho (OWNER) |
| Authorized Official Contact | 7278574108 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Myvisitingdoctorsinc 12336 Southbridge Ter Hudson FL 34669-5037 Ph: (727) 857-4108 | Myvisitingdoctorsinc 12336 Southbridge Ter Hudson FL 34669-5037 Ph: (727) 857-4108 |
| NPI Number | 1023263506 |
|---|---|
| Provider Enumeration Date | 11/25/2008 |
| Last Update Date | 06/09/2009 |
| Medicare PECOS PAC ID | 6103976022 |
|---|---|
| Medicare Enrollment ID | O20090615000226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023263506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS10002 (Florida) | Primary |
| Provider Name | Jonadab C Uzoho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124076377 PECOS PAC ID: 6305843467 Enrollment ID: I20071023000275 |
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