Organization Name: | EZE D. UCHE, M.D., PA |
NPI Number: | 1255527719 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROSE A SMITH (ADMINISTRATOR) |
Mailing Address: | 4646 Via Del Medico Leesburg |
State: | FL US |
Postal Code: | 347486995 |
Phone Number: | 3523600058 |
Fax Number: | 3523600024 |
NPI Enumeration Date: | 09/19/2007 |
NPI Last Update Date: | 08/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | ME0073420 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |