Healthcare Provider Details

I. General information

NPI: 1952915563
Provider Name (Legal Business Name): NGOZI GLOBAL HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

Provider Other Name: NGOZI GLOBAL HEALTHCARE LLC

II. Dates (important events)

Enumeration Date: 09/01/2020
Last Update Date: 04/30/2021
Certification Date: 04/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2750 TAYLOR AVE STE A-59
ORLANDO FL
32806-4474
US

IV. Provider business mailing address

PO BOX 608296
ORLANDO FL
32860-8296
US

V. Phone/Fax

Practice location:
  • Phone: 407-853-2611
  • Fax:
Mailing address:
  • Phone: 407-853-2611
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. NGOZI ODOH
Title or Position: DR. NGOZI ODOH, PHD, AGNP, APRN
Credential: PHD, MSN, AGNP, APRN
Phone: 407-853-2611