Healthcare Provider Details

I. General information

NPI: 1144199365
Provider Name (Legal Business Name): CHUKWUEMEKA FRANKLIN OKORO RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2025
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2855 NW 206TH ST
MIAMI GARDENS FL
33056-1429
US

IV. Provider business mailing address

2855 NW 206TH ST
MIAMI GARDENS FL
33056-1429
US

V. Phone/Fax

Practice location:
  • Phone: 786-617-4902
  • Fax:
Mailing address:
  • Phone: 786-617-4902
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License NumberRN9594032
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: