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NPI Code Detail

MEDICARE: AMANDA ONYEKE DO

MEDICARE: AMANDA ONYEKE DO
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
1390200000XStudent in an Organized Health Care Education/Training ProgramUO11433FL

General Provider Information

NPI Number : 1508706011
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA ONYEKE DO
Provider Business Mailing Address
First Line : 2780 CLEVELAND AVE STE 709
Second Line :
City : FORT MYERS
State : FL
Zip : 33901-5857
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2780 CLEVELAND AVE STE 709
Second Line :
City : FORT MYERS
State : FL
Zip : 33901-5857
Country : US
Telephone Number : 239-343-3831
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2026
Last Update Date : 06/13/2026

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