MEDICARE: DR. JENNYFER PAOLA UZOR M.D

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	208000000X	Pediatrics Physician	ME152344	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356654750
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNYFER PAOLA UZOR M.D

Provider Business Mailing Address
First Line	:	4651 N STATE ROAD 7 STE 10
Second Line	:
City	:	COCONUT CREEK
State	:	FL
Zip	:	33073-4378
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4651 N STATE ROAD 7 STE 10
Second Line	:
City	:	COCONUT CREEK
State	:	FL
Zip	:	33073-4378
Country	:	US
Telephone Number	:	954-866-5688
Fax Number	:	954-866-5682

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

Provider Enumeration Date	:	07/14/2010
Last Update Date	:	06/26/2024

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