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NPI Code Detail

MEDICARE: SANDRA OJURONGBE

MEDICARE:   SANDRA  OJURONGBE
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner11008426FL

General Provider Information

NPI Number : 1528678281
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA OJURONGBE
Provider Business Mailing Address
First Line : 2100 45TH ST
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33407-2016
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2100 45TH ST FL 2
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33407-2016
Country : US
Telephone Number : 561-804-8681
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2020
Last Update Date : 08/06/2020

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Directions to “ SANDRA OJURONGBE ” Practice Location

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