| Doctor Name: | DR. HEZEKIAH GEORGE OWOJUYIGBE |
| NPI Number: | 1588043350 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D |
| License Number: | 13606I |
| Business Practice Address: | 216 Se Corrections Way Lake City, FL - 320252013 |
| Business Phone Number: | 3862927023 |
| Business Fax Number: | |
| Mailing Address: | 216 Se Corrections Way, LAKE CITY |
| State: | FL |
| Postal Code: | 320252013 |
| Phone Number: | 3862927023 |
| Fax Number: | |
| NPI Enumeration Date: | 05/26/2015 |
| NPI Last Update Date: | 01/15/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 13606I |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |