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NPI Code Detail

MEDICARE: AKUA OWUSU MD

MEDICARE: AKUA OWUSU MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianME67605FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1104250OTHERFLUNITED BEHAVIORAL HEALTH
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
327808OTHERFLBLUE CROSS & BLUE SHIELD

General Provider Information

NPI Number : 1104962257
Entity Type Code : Individual
Provider Name (Legal Business Name) : AKUA OWUSU MD
Provider Business Mailing Address
First Line : 2394 FOXHAVEN DR W
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32224-2010
Country : US
Telephone Number : 904-887-3382
Fax Number :
Provider Business Practice Location Address
First Line : 2055 REYKO RD STE 100
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-2828
Country : US
Telephone Number : 239-690-6906
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2007
Last Update Date : 08/29/2024

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Directions to “ AKUA OWUSU MD” Practice Location

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