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NPI Code Detail

MEDICARE: MR. EMMANUEL NWAOGBO OPARA

MEDICARE: MR. EMMANUEL NWAOGBO OPARA
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
1101YM0800XMental Health CounselorMH 7289FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MH 7289OTHERFLLICENSE NUMBER

General Provider Information

NPI Number : 1821272485
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. EMMANUEL NWAOGBO OPARA
Provider Business Mailing Address
First Line : 20860 SAN SIMEON WAY
Second Line : UNIT #102
City : MIAMI
State : FL
Zip : 33179-1890
Country : US
Telephone Number : 305-624-7450
Fax Number : 305-623-7893
Provider Business Practice Location Address
First Line : 1825 NW 167TH ST
Second Line : SUITE #102
City : MIAMI GARDENS
State : FL
Zip : 33056-4838
Country : US
Telephone Number : 305-624-7450
Fax Number : 305-623-7893
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2007
Last Update Date : 12/19/2007

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