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1699979534

NPI Code Detail

MEDICARE: CHUKWUKA C OKAFOR MD

MEDICARE: CHUKWUKA C OKAFOR 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	207X00000X	Orthopaedic Surgery Physician	MD429548	PA
2	207X00000X	Orthopaedic Surgery Physician	MT184380	PA
3	207XS0117X	Orthopaedic Surgery of the Spine Physician	ME 104463	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	328285	OTHER	FL	AVMED
2	145C8	OTHER	FL	BC/BS
3	8814356	OTHER	FL	AETNA
4	3200107	OTHER	FL	CIGNA
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699979534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHUKWUKA C OKAFOR MD

Provider Business Mailing Address
First Line	:	5050 S FLORIDA AVE
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33813-2501
Country	:	US
Telephone Number	:	863-688-3030
Fax Number	:	863-688-4430

Provider Business Practice Location Address
First Line	:	5050 S FLORIDA AVE
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33813-2501
Country	:	US
Telephone Number	:	863-688-3030
Fax Number	:	863-688-4430

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

Provider Enumeration Date	:	06/13/2007
Last Update Date	:	07/23/2014

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Directions to “ CHUKWUKA C OKAFOR MD” 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.

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