Ebongo, Ima

Ebongo, Ima is an sole proprietor health care provider with primary practice located at 300 Nw 183Rd St , Miami Gardens FL 33169-4464. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ebongo, Ima can be contacted via phone (305) 999-0520.

Contact Information

Primary practice address
300 Nw 183Rd St Miami Gardens FL 33169-4464
Phone: (305) 999-0520
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11001398 Florida

Profile Details

NPI number 1992341523
LBN Legal business name Ebongo, Ima
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 19th, 2019
Last updated Nov 19th, 2019 - about 7 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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