Esomonu, Obioma Anthony

Esomonu, Obioma Anthony is an individual health care provider with primary practice located at 1028 Dunn Ave , Jacksonville FL 32218-4830. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Esomonu, Obioma Anthony can be contacted via phone (047) 667-6069.

Contact Information

Primary practice address
1028 Dunn Ave Jacksonville FL 32218-4830
Phone: (047) 667-6069
Fax: (904) 766-7679
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 19415 Puerto Rico
Allopathic & Osteopathic Physicians / General Practice 208D00000X ACN907 Florida

Profile Details

NPI number 1679926687
LBN Legal business name Esomonu, Obioma Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2016
Last updated Jan 19th, 2024 - about 2 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 1679926687 NPPES
Florida MEDICAID 020486500

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