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NPI Code Detail

MEDICARE: DR. PATRICIA NGUEBO

MEDICARE: DR. PATRICIA NGUEBO
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
1183500000XPharmacistPS51228FL

General Provider Information

NPI Number : 1598428435
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICIA NGUEBO
Provider Business Mailing Address
First Line : 4020 N WICKHAM RD
Second Line :
City : MELBOURNE
State : FL
Zip : 32935-2472
Country : US
Telephone Number : 321-254-7803
Fax Number : 321-757-9737
Provider Business Practice Location Address
First Line : 4020 N WICKHAM RD
Second Line :
City : MELBOURNE
State : FL
Zip : 32935-2472
Country : US
Telephone Number : 321-254-7803
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2021
Last Update Date : 04/12/2026

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Directions to “ DR. PATRICIA NGUEBO ” Practice Location

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