Doctor Name: | DR. JAMES O OGEDEGBE |
NPI Number: | 1659664746 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | |
Business Practice Address: | 1100 Loveland Blvd Port Charlotte, FL - 339801802 |
Business Phone Number: | 9416247200 |
Business Fax Number: | 9416247200 |
Mailing Address: | 514 E Grace St, PUNTA GORDA |
State: | FL |
Postal Code: | 339506121 |
Phone Number: | 9416391811 |
Fax Number: | 9416390854 |
NPI Enumeration Date: | 05/23/2011 |
NPI Last Update Date: | 05/23/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 305R00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Preferred Provider Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |