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NPI Code Detail

MEDICARE: AUGUSTINE CHIEDU MAIDOH

MEDICARE:   AUGUSTINE CHIEDU MAIDOH
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
1183500000XPharmacist64441FL

General Provider Information

NPI Number : 1427771096
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUGUSTINE CHIEDU MAIDOH
Provider Business Mailing Address
First Line : 5456 E MICHIGAN ST APT 2
Second Line :
City : ORLANDO
State : FL
Zip : 32812-7825
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10425 NARCOOSSEE RD
Second Line :
City : ORLANDO
State : FL
Zip : 32832-6902
Country : US
Telephone Number : 407-384-0914
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2022
Last Update Date : 09/20/2022

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Directions to “ AUGUSTINE CHIEDU MAIDOH ” Practice Location

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