Cudjoe, Gineen Afeisha Theresa
Cudjoe, Gineen Afeisha Theresa is an individual health care provider with primary practice located at 175 W Pine Ave , Longwood FL 32750-4168. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Cudjoe, Gineen Afeisha Theresa can be contacted via phone (321) 207-0172.Contact Information
Primary practice address
175 W Pine Ave
Longwood FL 32750-4168
Phone: (321) 207-0172
Fax: (321) 207-0175
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | ME160017 | Florida |
Profile Details
| NPI number | 1992180483 |
|---|---|
| LBN Legal business name | Cudjoe, Gineen Afeisha Theresa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2015 |
| Last updated | Jan 6th, 2024 - about 11 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992180483 | NPPES |
| Florida | MEDICAID | 118690100 |
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