Ezeude, Ngozi K
Ezeude, Ngozi K is an individual health care provider with primary practice located at 855 S Highland Ave , Clearwater FL 33756. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot Surgery is her primary health care specialty. Ezeude, Ngozi K can be contacted via phone (727) 219-1833.Contact Information
Primary practice address
855 S Highland Ave
Clearwater FL 33756
Phone: (727) 219-1833
Fax: (727) 330-2908
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | PO3610 | Florida |
Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | PO3610 | Florida |
Profile Details
NPI number | 1902046881 |
---|---|
LBN Legal business name | Ezeude, Ngozi K |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 4th, 2009 |
Last updated | Oct 23rd, 2019 - about 5 years 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 | 1902046881 | NPPES |
Florida | MEDICAID | 15159100 |
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