MEDICARE: DR. UNYIME OKPOSONG NSEYO MD

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	208800000X	Urology Physician	51456	SC
2	208800000X	Urology Physician	ME91775	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497778310
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. UNYIME OKPOSONG NSEYO MD

Provider Business Mailing Address
First Line	:	1601 SW ARCHER RD
Second Line	:	112-C
City	:	GAINESVILLE
State	:	FL
Zip	:	32608-1135
Country	:	US
Telephone Number	:	352-376-1611
Fax Number	:	352-374-6157

Provider Business Practice Location Address
First Line	:	135 PROFESSIONAL PARK DR
Second Line	:
City	:	SENECA
State	:	SC
Zip	:	29678-2558
Country	:	US
Telephone Number	:	864-882-5306
Fax Number	:	864-882-1908

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

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	07/21/2022

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