MEDICARE: DR. OBIOMA ANTHONY ESOMONU M.D.

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	208D00000X	General Practice Physician	19415	PR
2	208D00000X	General Practice Physician	ACN907	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679926687
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. OBIOMA ANTHONY ESOMONU M.D.

Provider Business Mailing Address
First Line	:	6101 BLUE LAGOON DR STE 400
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-2051
Country	:	US
Telephone Number	:	305-500-2000
Fax Number	:	386-325-1086

Provider Business Practice Location Address
First Line	:	1028 DUNN AVE
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32218-4830
Country	:	US
Telephone Number	:	47-667-6069
Fax Number	:	904-766-7679

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

Provider Enumeration Date	:	07/14/2016
Last Update Date	:	01/19/2024

Similar Medicare Providers

1518816354 — MS. KRYSTAL E SHERAN PMHNP-BC
Practice Location Address:

1028 DUNN AVE
JACKSONVILLE, FL
32218-4830

Practice Phone: 904-485-6739
Practice Fax:

1609618743 — DR. MARTIN GIOVANNI VAZQUEZ MIRANDA MD
Practice Location Address:

1028 DUNN AVE
JACKSONVILLE, FL
32218-4830

Practice Phone: 904-766-7606
Practice Fax: 904-766-7679

1104272335 — DR. ALAN EKANEM MD
Practice Location Address:

1028 DUNN AVE
JACKSONVILLE, FL
32218-4830

Practice Phone: 904-766-7606
Practice Fax: 904-766-7679

1922572023 — NATASHA T INGRAM ARNP, FNP-C
Practice Location Address:

1028 DUNN AVE
JACKSONVILLE, FL
32218-4830

Practice Phone: 904-766-7606
Practice Fax: 904-766-7679

1154839181 — ASHLEY WYNNE
Practice Location Address:

1034 DUNN AVE STE 104
JACKSONVILLE, FL
32218-4830

Practice Phone: 904-757-1782
Practice Fax:

1528565744 — DR. DANIELLE LEA WOODRUFF PT, DPT
Practice Location Address:

1034 DUNN AVE
JACKSONVILLE, FL
32218-4830

Practice Phone: 904-757-1782
Practice Fax:

Directions to “ DR. OBIOMA ANTHONY ESOMONU M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.