Mbakaya-Chen, Praxides Mukoche

Mbakaya-Chen, Praxides Mukoche is an individual health care provider with primary practice located at 2020 Talley Rd , Leesburg FL 34748-3426. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mbakaya-Chen, Praxides Mukoche can be contacted via phone (352) 315-7800.

Contact Information

Primary practice address
2020 Talley Rd Leesburg FL 34748-3426
Phone: (352) 315-7800
Fax: (352) 360-6582
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP 9323763 Florida

Profile Details

NPI number 1700168085
LBN Legal business name Mbakaya-Chen, Praxides Mukoche
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2011
Last updated Oct 16th, 2012 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700168085 NPPES
Other FK403Z MEDICARE PTAN
MEDICAID 004023800 MEDICARE PTAN

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