Healthcare Provider Details

I. General information

NPI: 1841447091
Provider Name (Legal Business Name): IFEYINWA NWANDO UMEH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2008
Last Update Date: 01/09/2025
Certification Date: 01/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15528 W COLONIAL DR UNIT B
WINTER GARDEN FL
34787-9577
US

IV. Provider business mailing address

801 WEST OAK STREET SUITE 101
KISSIMMEE FL
34741-6614
US

V. Phone/Fax

Practice location:
  • Phone: 321-900-0620
  • Fax: 321-900-0630
Mailing address:
  • Phone: 407-846-3455
  • Fax: 407-846-3670

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME102177
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: