Healthcare Provider Details

I. General information

NPI: 1407352982
Provider Name (Legal Business Name): CHIRIGA OFORI RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2018
Last Update Date: 11/08/2024
Certification Date: 11/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1851 SPARKLING WATER CIR
OCOEE FL
34761-9128
US

IV. Provider business mailing address

6388 SILVER STAR RD STE 2D
ORLANDO FL
32818-3235
US

V. Phone/Fax

Practice location:
  • Phone: 727-483-3066
  • Fax:
Mailing address:
  • Phone: 321-888-2366
  • Fax: 407-205-0052

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberRN9396570
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9396570
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: