Umoren Medical LLC
Internal Medicine, Infectious Disease in Lake Worth, FL. Organization (NPI-2).
NPI number1578956173
StatusActive
Last updated in NPPESMar 6, 2015
Details
- NPI
- 1578956173
- Entity type
- Organization (NPI-2)
- Legal business name
- Umoren Medical LLC
- Organization subpart
- No
- Enumeration date
- Mar 6, 2015
- Last updated
- Mar 6, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RI0200X | Internal Medicine, Infectious Disease | ME 103641 | FL | Yes |
Practice location
6551 Constance StLake Worth, FL 33467-7661
Phone 561-429-3625
Mailing address
6551 Constance StLake Worth, FL 33467-7661
Phone 561-429-3625
Authorized official
Inemesit E Umoren
Owner/Administrator
5614293625
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