Ikudayisi, David O

Ikudayisi, David O is an sole proprietor health care provider with primary practice located at 6641 Madison St Suite 3, New Port Richey FL 34652-1966. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Ikudayisi, David O can be contacted via phone (727) 232-0826.

Contact Information

Primary practice address
6641 Madison St Suite 3 New Port Richey FL 34652-1966
Fax: (727) 597-8487
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X ME87841 Florida

Profile Details

NPI number 1164604526
LBN Legal business name Ikudayisi, David O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2007
Last updated Oct 31st, 2014 - about 10 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.

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