MEDICARE: UCHENNA MAURICE CHUDE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	11031450	FL

General Provider Information

NPI Number	:	1144086497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	UCHENNA MAURICE CHUDE

Provider Business Mailing Address
First Line	:	7532 AZALEA COVE CIR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32807-6225
Country	:	US
Telephone Number	:	407-453-1216
Fax Number	:	305-306-2184

Provider Business Practice Location Address
First Line	:	7532 AZALEA COVE CIR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32807-6225
Country	:	US
Telephone Number	:	407-453-1216
Fax Number	:	305-306-2184

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2024
Last Update Date	:	09/04/2024

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Directions to “ UCHENNA MAURICE CHUDE ” Practice Location

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