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NPI Code Detail

MEDICARE: DR. GODWIN STANLEY OKOYE M.D., PH.D.

MEDICARE:  DR. GODWIN STANLEY OKOYE  M.D., PH.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
1208U00000XClinical Pharmacology PhysicianME107980FL
2208D00000XGeneral Practice PhysicianME107980FL
3146D00000XPersonal Emergency Response AttendantMD435450PA
4207QA0401XAddiction Medicine (Family Medicine) PhysicianME107980FL
5207W00000XOphthalmology PhysicianME107980FL

General Provider Information

NPI Number : 1801122395
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GODWIN STANLEY OKOYE M.D., PH.D.
Provider Business Mailing Address
First Line : 4810 PORTOBELLO CIR
Second Line :
City : VALRICO
State : FL
Zip : 33596-7372
Country : US
Telephone Number : 813-498-7019
Fax Number :
Provider Business Practice Location Address
First Line : 10224 E ADAMO DR
Second Line :
City : TAMPA
State : FL
Zip : 33619-2663
Country : US
Telephone Number : 813-315-9898
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2009
Last Update Date : 07/12/2017

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Directions to “ DR. GODWIN STANLEY OKOYE M.D., PH.D.” Practice Location

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