Dr. Ifeoma Anagboso, MD
Family Medicine in Clearwater, FL. Individual provider (NPI-1).
NPI number1053940593
StatusActive
Last updated in NPPESAug 4, 2023
Details
- NPI
- 1053940593
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ifeoma Anagboso
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 6, 2020
- Certification date
- Aug 4, 2023
- Last updated
- Aug 4, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | ME159737 | FL | Yes |
Practice location
855 S Highland AveClearwater, FL 33756-4446
Phone 727-219-1833 · Fax 727-330-2908
Mailing address
855 S Highland AveClearwater, FL 33756-4446
Phone 727-219-1833 · Fax 727-330-2908
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