Healthcare Provider Details

I. General information

NPI: 1184042038
Provider Name (Legal Business Name): FLORENCE IFEOMA ADIMORA-NWEKE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: IFEOMA FLORENCE ADIMORA-NWEKE MPH

II. Dates (important events)

Enumeration Date: 03/28/2014
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HOSPITAL DR # DC043.00
COLUMBIA MO
65212-5844
US

IV. Provider business mailing address

1 HOSPITAL DR # DC043.00
COLUMBIA MO
65212-5844
US

V. Phone/Fax

Practice location:
  • Phone: 573-884-9066
  • Fax: 573-884-4533
Mailing address:
  • Phone: 573-884-9066
  • Fax: 573-884-4533

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number2018022106
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2018022106
License Number StateMO
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberS0251
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: