Oguchi, Godson Ifeanyi

Oguchi, Godson Ifeanyi is an individual health care provider with primary practice located at 955 Town Center Dr Suite 100, Orange City FL 32763-8255. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Oguchi, Godson Ifeanyi can be contacted via phone (386) 228-0661.

Contact Information

Primary practice address
955 Town Center Dr Suite 100 Orange City FL 32763-8255
Phone: (386) 228-0661
Fax: (386) 228-0662
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME89341 Florida
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X ME89341 Florida

Profile Details

NPI number 1245200906
LBN Legal business name Oguchi, Godson Ifeanyi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Jan 28th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1245200906 NPPES
Florida Other 17918 FL MEMORIAL HEALTH NETWOR
Florida MEDICAID 269494800 FL MEMORIAL HEALTH NETWOR
Florida Other 264127 FL MEMORIAL HEALTH NETWOR
Florida Other 46111 FL MEMORIAL HEALTH NETWOR
Florida Other P00145723 FL MEMORIAL HEALTH NETWOR

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