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:
Health care specialties
| Specialty | Code | License # | 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 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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