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NPI Code Detail

MEDICARE: CHUKWUKA C OKAFOR, MD, MBA, PA

MEDICARE: CHUKWUKA C OKAFOR, MD, MBA, PA
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
1207XS0117XOrthopaedic Surgery of the Spine PhysicianME104463FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962714071
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHUKWUKA C OKAFOR, MD, MBA, PA
Provider Business Mailing Address
First Line : 5050 S FLORIDA AVE
Second Line :
City : LAKELAND
State : FL
Zip : 33813-2501
Country : US
Telephone Number : 863-688-3030
Fax Number : 863-688-4430
Provider Business Practice Location Address
First Line : 5050 S FLORIDA AVE
Second Line :
City : LAKELAND
State : FL
Zip : 33813-2501
Country : US
Telephone Number : 863-688-3030
Fax Number : 863-688-4430
Authorized Official
Title or Position : OWNER
Name : DR. CHUKWUKA C OKAFOR
Credential : MD
Telephone Number : 863-688-3030
Provider Enumeration Date : 07/06/2010
Last Update Date : 02/23/2015

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Directions to “CHUKWUKA C OKAFOR, MD, MBA, PA ” Practice Location

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