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1770639676 NPI number — INEMESIT ESSIEN UMOREN M.D.

NPI Number: 1770639676
Health Care Provider/Practitioner: INEMESIT ESSIEN UMOREN M.D.

Information about “1770639676” NPI (INEMESIT ESSIEN UMOREN M.D.) exists in 1770639676 in HTML format HTML  |  1770639676 in plain Text format TXT  |  1770639676 in PDF (Portable Document Format) PDF  |  1770639676 in an XML format XML  formats.

NPI Number : 1770639676 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1770639676",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "UMOREN",
    "FirstName": "INEMESIT",
    "MiddleName": "ESSIEN",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6551 CONSTANCE ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAKE WORTH",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33467-7661",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "561-685-7109",
    "MailingAddressFaxNumber": "561-328-8417",
    "FirstLinePracticeLocationAddress": "2300 S CONGRESS AVE",
    "SecondLinePracticeLocationAddress": "SUITE 100",
    "PracticeLocationAddressCityName": "BOYNTON BEACH",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33426-7400",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "561-735-7531",
    "PracticeLocationAddressFaxNumber": "561-742-8250",
    "EnumerationDate": "01/25/2007",
    "LastUpdateDate": "09/20/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207RI0200X",
        "TaxonomyName": "Infectious Disease Physician",
        "LicenseNumber": "ME103641",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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