MEDICARE: DR. CHIOMA ANYIKWA 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
1	207Q00000X	Family Medicine Physician	ME176848	FL

General Provider Information

NPI Number	:	1447710884
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHIOMA ANYIKWA MD

Provider Business Mailing Address
First Line	:	8100 SW 10TH ST
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33324-3279
Country	:	US
Telephone Number	:	954-210-1000
Fax Number	:

Provider Business Practice Location Address
First Line	:	8100 SW 10TH ST
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33324-3279
Country	:	US
Telephone Number	:	954-210-1000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2019
Last Update Date	:	12/11/2025

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