Umoren Medical Llc | |
6551 Constance St Lake Worth FL 33467-7661 | |
(561) 429-3625 | |
Not Available |
Full Name | Umoren Medical Llc |
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Speciality | Internal Medicine - Infectious Disease |
Location | 6551 Constance St, Lake Worth, Florida |
Authorized Official Name and Position | Inemesit E Umoren (OWNER/ADMINISTRATOR) |
Authorized Official Contact | 5614293625 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Umoren Medical Llc 6551 Constance St Lake Worth FL 33467-7661 Ph: (561) 429-3625 | Umoren Medical Llc 6551 Constance St Lake Worth FL 33467-7661 Ph: (561) 429-3625 |
NPI Number | 1578956173 |
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Provider Enumeration Date | 03/06/2015 |
Last Update Date | 03/06/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578956173 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | ME 103641 (Florida) | Primary |
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