Healthcare Provider Details

I. General information

NPI: 1154835718
Provider Name (Legal Business Name): MS. UCHENNA UGOKWE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/18/2017
Last Update Date: 01/23/2024
Certification Date: 01/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 N BISCAYNE RIVER DR
MIAMI FL
33169-6628
US

IV. Provider business mailing address

330 N BISCAYNE RIVER DR
MIAMI FL
33169-6628
US

V. Phone/Fax

Practice location:
  • Phone: 786-301-7131
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number10015551
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPRN11001947
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number9310952
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAP141245
License Number StateTX
# 5
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number244637
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: