Ngondo, Susan Wakesho

Ngondo, Susan Wakesho is an sole proprietor health care provider with primary practice located at 127 S Bahama Ave , Marco Island FL 34145-5117. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Ngondo, Susan Wakesho can be contacted via phone (239) 601-5452.

Contact Information

Primary practice address
127 S Bahama Ave Marco Island FL 34145-5117
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11011868 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11011868 Florida

Profile Details

NPI number 1962088047
LBN Legal business name Ngondo, Susan Wakesho
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2021
Last updated Dec 6th, 2021 - about 3 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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